Acceptability of a new practice development for radiographers focussed on reducing ‘never events’ related to nasogastric feeding tubes in adult patients

Abstract

IntroductionAscertain if a new practice development designed to reduce ‘never events’ from feeding through misplaced nasogastric tubes (NGT) in a large teaching hospital Trust was acceptable to a large radiography workforce. MethodsDespite National Patient Safety Agency guidance advising on safe practice for confirming position of NGTs a number of ‘never events’ still occur nationally due to misinterpretation of the check X-ray. A new practice development for radiographers included providing an immediate comment and removal of misplaced NGTs at the time of the check X-ray examination. Success of the new system was partly assessed using qualitative and quantitative measures of radiographer opinion of the training and different aspects of the system. ResultsThere was a significant improvement in radiographers' level of confidence in image interpretation after training (58/98 positive responses before, 89/98 positive after training) and after five months of experience at undertaking the role (96/98 positive) (p < 0.01). There was increased confidence in NGT removal post training and with five months of experience (16/95 positive before training, 67/96 positive after and 81/95 positive with five months of experience). 97/98 (99%) of radiographers agreed the new system benefits patients, 93/98 (95%) believed it a positive step for the radiography profession. ConclusionEvaluation of this new practice development has shown it was embraced by radiographers and is a workable and potentially cost-effective solution in addressing real time image interpretation issues that were evident from previous ‘never events’. Large scale implementation of this system across the NHS Radiography workforce should be considered.