Date Available


Year of Publication


Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Melanie Hardin-Pierce

Clinical Mentor

Dr. Craig Carter

Committee Member

Dr. Sheila MelanderPre-


Background: Advanced airway management via endotracheal tube placement in the critically ill and injured is tenuous and presents a multitude of challenges that threaten patient safety. The potential for procedure-associated hypoxia, hypotension, and cardiac arrest during the peri-intubation period can be detrimental to overall patient outcomes. Purpose: The purpose of this project is to evaluate the effectiveness of the Standardized Airway Flow For Engineered Resuscitation (S.A.F.F.E.R.) checklist in reducing peri-intubation complications and provider perception of checklist implementation when performing advanced airway procedures.

Methods: A case-control analytical observational design study which included retrospective and prospective electronic medical record review to determine if the incidence of peri- intubation complications decreased following checklist implementation and a qualitative survey of providers to determine perceptions regarding checklist usage.

Results: This study identified no statistically significant decrease in peri-intubation complication following the implementation of the S.A.F.F.E.R. Airway Checklist. Provider perceptions toward checklist usage were overall positive; however, no strong themes regarding checklist usage were identified.

Conclusion: While no statistically significant results were derived from the study, this study provides foundational data to support additional research by identifying surface level outcome variables and the resulting limitations when attempting to determine effectiveness of a checklist.