Clinical and Nonclinical Implications of Misplaced Nasogastric Tubes: Tools for Implementation of Standardized Best Practices

  • Olivia Lounsbury Patient Safety Movement Foundation
  • Jennifer Tatro, MSN, RN UCHealth Memorial Hospital Central
  • Beth Lyman, MSN, RN Children’s Mercy Kansas City
  • Donna M. Prosser, DNP, RN Patient Safety Movement Foundation
  • Haylie Coffey, MSN, RN Carolinas HealthCare System Blue Ridge

Abstract

The consequences of misplaced nasogastric tubes extend far beyond the clinical setting and have implications for the hospital’s reputation and economic stability. A systematic approach for nasogastric tube insertion and verification is necessary in order to prevent misplaced nasogastric tubes which are, indeed, “never events.” The Actionable Patient Safety Solutions (APSS) from the Patient Safety Movement Foundation outline best practices for implementation of nasogastric tube placement protocols in hospitals to ensure consistency across the organization and preserve patient safety at the forefront of all clinical endeavors.

Author Biographies

Olivia Lounsbury, Patient Safety Movement Foundation

Olivia Lounsbury (olivia.lounsbury@patientsafetymovement.org) is a clin-ical research coordinator for the Patient Safety Movement Foundation.

Jennifer Tatro, MSN, RN, UCHealth Memorial Hospital Central

Jennifer Tatro is the manager of clinical quality and patient safety at UCHealth Memorial Hospital Central in Colorado Springs, Colorado.

Beth Lyman, MSN, RN, Children’s Mercy Kansas City

Beth Lyman is a nutrition support nurse consultant and senior program coordinator of the Nutrition Support Team at Children’s Mercy Kansas City.

Donna M. Prosser, DNP, RN, Patient Safety Movement Foundation

Donna Prosser is the chief clinical officer for the Patient Safety Movement Foundation.

Haylie Coffey, MSN, RN, Carolinas HealthCare System Blue Ridge

Haylie Coffey is director of Patient Safety & Nursing at Carolinas HealthCare System Blue Ridge.

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nasogastric tube
Published
2020-09-17
How to Cite
Lounsbury, O., Tatro, J., Lyman, B., Prosser, D., & Coffey, H. (2020). Clinical and Nonclinical Implications of Misplaced Nasogastric Tubes: Tools for Implementation of Standardized Best Practices. Patient Safety , 2(3), 4. https://doi.org/10.33940/med/2020.9.6
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