Quality improvement project to reduce unplanned extubations in a paediatric intensive care unit.

Background: Unplanned extubations are recurrent adverse events in mechanically ventilated children and have been the focus of quality and safety improvement in paediatric intensive care units (ICUs).

Local Problem: To reduce the rate of unplanned extubation in the paediatric ICU by 66% (from 2.02 to 0.