Reducing the risk of Never Events: A deep dive into misplaced nasogastric tubes

Reducing the risk of Never Events: A deep dive into misplaced nasogastric tubes

Exchange Auditorium
Human Factors

Information

  • The importance of being proactive and inquisitive and how this resulted in identifying previously unknown gaps
  • Learn how one trust is evaluating all PH strips on the market in order to adopt the best device and minimise error
  • How this work has resulted in new guidelines that openly acknowledge the gaps in the system with the aim of preventing incidents

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