Readiness Assessment for Extubation Planning in the Intensive Care Unit: A Quality Improvement Initiative

Author(s): Jace D. Johnny, DNP, APRN, AGACNP-BC, OCN, CCRN

Contact Hours 1.00

CERP A 1.00

Expires May 26, 2024

Topics: Pulmonary, Quality Improvement

Population: Adult

Role: Staff

Member: Free
NonMember: $10.00

Added to Collection

Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Extubation failure (EF) is the reintubation of patients meeting criteria for weaning from mechanical ventilation. Failure is correlated mortality, prolonged mechanical ventilation and longer stays in the hospital and intensive care unit. Noninvasive ventilation or high-flow nasal cannula oxygen therapy has shown to prevent EF in high-risk patients. This quality improvement initiative assessed readiness for extubation planning by integrating an evidence-based extubation failure risk assessment (EFRA) into routine patient care to identify high-risk patients and determining practice compliance. Despite identifying patients considered high risk, there was no statistically significant correlation with previously identified risk factors and EF.


  • Identify extubation failure and describe its effects on patient’s outcomes.
  • Describe current treatment options available for the prevention of extubation failure.
  • Evaluate the need for routine measurement of extubation failure within the inpatient setting and potential areas of further study.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


This activity has been reviewed by the Nurse Planner. It has been determined that the material presented here shows no bias. No conflicts of interest have been identified for any individual with the ability to influence the content of this activity. Accreditation refers to recognition of continuing education only and does not imply AACN or ANCC approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity.


The American Association of Critical-Care Nurses (AACN) is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's (ANCC's) Commission on Accreditation, ANCC Provider Number 0012. AACN has been approved as a provider of continuing education in nursing by the California State Board of Nursing (CBRN), California Provider number CEP 1036. This activity is approved for 1.00 contact hours.

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