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March 14, 2026Respiratory Care

Does Staffing Turnover Impact Therapist-Driven Protocolized Care? Initial Quality Improvement Assessment of an Established Spontaneous Breathing Trial Protocol

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Authors

LPLance PangilinanBoise State UniversityGBGregory D BurnsUniversity of California, San FranciscoDGDonna D GardnerAsthma and Allergy Foundation of America

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Implication

Quality improvement assessment reveals staffing turnover does not hinder weaning protocol adherence in ICU.

Key Points

  • The aim was to assess the adherence to the spontaneous breathing trial (SBT) protocol and its impact on mechanical ventilation duration post-staff turnover.
  • Screened 60 patients from Medical, Surgical, and Neuro ICUs.
  • Divided subjects into two cohorts: pre-COVID (8/2019 to 3/2020) and post-COVID (2/2021 to 2/2023).
  • Excluded the first year of COVID-19 and other specific criteria to maintain data quality.
  • Collected data on mechanical ventilation and SBT adherence using electronic medical records.
  • 45 out of the 60 screened subjects were included after exclusions.
  • Average mechanical ventilation duration was significantly lower than historical controls at 1.52 days.
  • 2% rate of extubation failure, consistent adherence to SBT protocol was observed despite staff turnover.
  • No differences in secondary adherence variables between cohorts.

Cite This Study

Pangilinan et al. (2023) studied this question.

synapsesocial.com/papers/69b4fb8db39f7826a300bcedhttps://doi.org/10.4187/respcare.20233951477
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Improving Spontaneous Breathing Trials With a Respiratory Therapist-Driven Protocol2024 · 7 citations
  2. 2B104-11 Delayed Weaning Attempts Are Common and Associated With Increased Mortality Across Diverse ICUs2026
  3. 3B55-06 Addressing the Importance of Spontaneous Breathing Trial Documentation in Improving Multidisciplinary Communication in the Ventilated Patient: A Quality Improvement Initiative2026
  4. 4Spontaneous breathing trial in the weaning process from mechanical ventilation in pediatrics: outcome and predictive factors2024 · 1 citations
  5. 5Optimizing daily spontaneous breathing trial timing to expedite extubation2026