Cost-Savings by Extubating Patients To The Same Ventilator
Care Process & Redesign
Yishun Health One Improvement Festival
National Healthcare Group
8 April 2025
The study aims to quantify the cost-savings associated with extubating patients directly to an invasive ventilator set on. Using NIV mode on invasive ventilators post-extubation leads to substantial cost savings without adversely affecting patient outcomes.
Year Submitted: 2025
Published Date: 08 April 2025
Tags: Cost Saving, Quality Improvement, Workflow Redesign, Productivity, Clinical Practice Improvement, Care Process ＆ Redesign
About this Content
Aims
The study aims to quantify the cost-savings associated with extubating patients directly to an invasive ventilator set on NIV mode versus transitioning them to a dedicated NIV machine, with a focus on high-risk populations within the MICU.
Background
The background involves the implementation of the conditional application of extubating patients to the same ventilator, which began in 2021. The practice is based on emerging evidence supporting NIV's benefits post-extubation, particularly among high-risk patient groups in the MICU.
Methods
The methodology involves analyzing data from 2021 onwards to evaluate the economic efficiency of using NIV mode on invasive ventilators compared to dedicated non-invasive ventilators.
Results
The results indicate substantial cost savings from using NIV mode on invasive ventilators post-extubation without adversely affecting patient outcomes. Specific cost savings are detailed for the years 2021, 2022, and 2023.
Conclusion
Using NIV mode on invasive ventilators post-extubation leads to substantial cost savings without adversely affecting patient outcomes.
Lessons Learnt
The practice has shown to save patients money without sacrificing quality of care.
Additional Information
The project aligns with the YH Onward 2026 initiative by improving quality and patient safety. The text also provides specific cost savings and extubation data.
Keywords
Cost-Savings, Extubation, Ventilator, NIV, Respiratory Therapy
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Khoo Teck Puat Hospital |
Platform(s) | Yishun Health One Improvement Festival |
Healthcare Professional Group(s) | Ancillary Care, Nursing |
Applicable Specialty or Discipline | Respiratory Therapy |
Project Lead(s) | Leong A, Biong J.A, Bin Roslee M.Z.Z |
Project Member(s) | Blesilda Ongsing Ramos |
Connect with this contributor!
KTPH & YCH Innovation & Improvement (I&I) Office - i-i@ktph.com.sg
Project Attachment
753_KTPH_OIF 2025_Cost Savings by Extubating Patients To The Same.pdf