NHS safety guidance ‘too long to read’ say hospital staff as safety watchdog exposes systemic risks of misplaced nasogastric tubes: independent.co.uk/news/health/pa… #patientsafety
I have often wondered what value the reams of guidance in hospitals actually adds to #patientsafety Is it more about assurance? Staff have no time to keep abreast of changes? And too often guidance isn't up to date anyway?
The irony is of course, the @hsib_org report itself, will probably go unread by many. But you can find it here: hsib.org.uk/investigations…
@hsib_org found PH testing to make sure a tube was in the stomach and not the lungs was unreliable and different manufacturers used different colour coding with no standard process for reading. No consistent training nor a proper system for checking staff were competent.
HSIB said using X-rays to confirm the tube was in the right place was also prone to errors with no standardised process for checking staff were skilled to do it adding: “People described different ways of interpreting an X-ray.”
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