Background
  • Subjectively, from information gathered as part of an audit following
  • a nasogastric feeding tube 'never event' at the Trust the authors
  • concluded that formal instruction particularly to F1 and F2 medical
  • practitioners regarding the interpretation of tube siting on check
  • X-ray images is not wide spread 
  •  
    References from previous page
     
    1 The 'Never Events' List 2012 to 2013 Click here for detail 
     
    2. National Patient Safety Agency. Incidents related to nasogastric tubes. August 2008.
    Quarterly Data Summary:9
     
    3. National Patient Safety Agency Alert March 2011. Click Here for detail