Objective To describe the current status of unplanned extubation (UE) risk monitoring and management for hospitalized patients in secondary and tertiary general hospitals in Sichuan province, and to provide reference for establishment and improvement of UE risk management model. Methods A self-designed questionnaire regarding UE risk monitoring for inpatient was used to investigate 171 secondary and tertiary general hospitals in Sichuan province. Results One hundred and sixty-one hospitals (94.15%) conducted UE risk monitoring, of which 157 (97.52%) hospitals set up monitoring agencies with nursing department involving in. A total of 153 (89.47%) hospitals performed UE risk assessment, and 160 (93.57%) hospitals supervised quality of UE risk management. Ten (5.85%) hospitals did not establish UE reporting mechanism, 36 (21.05%) hospitals did not have an early warning mechanism after UE, and 17 (9.94%) hospitals did not carry out the follow-up evaluation of UE. Conclusion UE risk monitoring for inpatients in secondary and tertiary general hospitals in Sichuan province is relatively well, but the personnel in monitoring agency, catheter type under monitoring, risk assessment tool, risk supervision, reporting mechanism, early warning mechanism, and tracking /evaluation mechanism still need to be improved to ensure quality of UE management and prevent UE.