Radiographer workforce role expansion to improve patient safety related to nasogastric tube placement for feeding in adults.

Abstract:

AIM:To determine whether the active involvement of radiographers in nasogastric tube (NGT) management at a large multisite healthcare institution can contribute to risk reduction regarding feeding through misplaced NGTs. MATERIALS AND METHODS:Despite national guidance in the National Health Service advising on safe practice to confirm NGT position, a number of "never events" (feeding through misplaced NGT) continue to occur due to misinterpretation of the check radiograph. Practice change was introduced, including all plain film radiographers providing contemporaneous comments on NGT position on the check radiograph. The success of the system was assessed to determine the accuracy of radiographer comments against the reference standard of the radiologist report to see whether the system has helped reduce the number of "never events". RESULTS:During the first 27 months post-implementation, 4,675 check NGT radiography examinations were analysed. Two hundred and twenty-seven examinations were excluded due to absent or incomplete radiographer comments. The accuracy of the radiographer comments was 98.5% (95% confidence interval [CI]: 97.7-99.5%), sensitivity 97.4% (95% CI: 96.3-98.3%), specificity 98.9% (95% CI: 98.5-99.2%), positive predictive value 96.8% (95% CI: 95.6-97.7%), and negative predictive value 99.1% (95% CI: 98.8-99.4%). CONCLUSION:After focused training, radiographer comments are a safe, sustainable, and workable solution offering an effective solution for image misinterpretation issues relating to NGT "never events". This should be considered for wider implementation in healthcare.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

Roe G,Harris KM,Lambie H,Tolan DJM

doi

10.1016/j.crad.2016.12.018

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

518.e1-518.e7

issue

6

eissn

0009-9260

issn

1365-229X

pii

S0009-9260(17)30012-0

journal_volume

72

pub_type

杂志文章
  • Endoscopic third ventriculocisternostomies In the infant: pre- & post-operative magnetic resonance imaging EvaluationElective project

    abstract::PURPOSE: To determine whether it is possible to select patients with obstructive hydrocephalus, in the under 1 age group for endoscopic third ventriculocisternostomy (ETV) using pre-operative T2 weighted turbo spin echo (T2W-TSE) sagittal sequence Magnetic Resonance (MR) imaging; and to assess ventriculocisternostomy ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1053/crad.2000.0645

    authors: Sharman A

    更新日期:2000-12-01 00:00:00

  • CT appearance of common cosmetic and reconstructive surgical procedures and their complications.

    abstract::In this review, we illustrate the spectrum of imaging features after plastic surgical procedures including transverse rectus abdominis myocutaneous flap, deep inferior epigastric perforators flap, latissimus dorsi flap, liposuction, abdominoplasty, and buttocks augmentation. Examples of complications, including seroma...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2012.10.001

    authors: Frank SJ,Flusberg M,Friedman S,Swinburne N,Sternschein M,Wolf EL,Stein MW

    更新日期:2013-01-01 00:00:00

  • Advances in breast intervention: where are we now and where should we be?

    abstract::In the past four decades, a variety of methods for minimal or non-invasive diagnosis and treatment of breast cancer have been introduced. Although breast imaging has become more and more specific for diagnosis, specimen biopsy with histopathological confirmation is still necessary. Core-needle biopsy under ultrasound ...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2017.10.018

    authors: Sanderink WBG,Mann RM

    更新日期:2018-08-01 00:00:00

  • Can MRI predict the diagnosis of endometrial carcinosarcoma?

    abstract:AIM:To ascertain whether magnetic resonance imaging (MRI) can be used to suggest a diagnosis of endometrial carcinosarcoma. MATERIALS AND METHODS:A retrospective imaging review was performed of the MRI images of 39 patients with endometrial carcinosarcoma. Anteroposterior and longitudinal dimensions of the uterus and ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2011.02.008

    authors: Genever AV,Abdi S

    更新日期:2011-07-01 00:00:00

  • The empty rectum on plain X-ray. Does it have any significance in the neonate?

    abstract::The absence of rectal gas is said to be a sign of Hirschsprung's disease, especially when there is also gaseous distension of the bowel proximally. This paper reviews 136 neonates who had plain abdominal radiographs. There were 83 patients with multiple examinations, of which 52 (63%) showed variability in the presenc...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)80253-3

    authors: Bradley MJ,Pilling D

    更新日期:1991-04-01 00:00:00

  • Postoperative CT in pancreas transplantation.

    abstract:AIM:To examine the usage and value of computed tomography (CT) following simultaneous pancreas and kidney (SPK) transplantation. MATERIALS AND METHODS:Indications for postoperative CT, key findings, and their influence on management were determined by retrospective analysis. RESULTS:Ninety-eight patients underwent 31...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2015.06.086

    authors: Powell FE,Harper SJ,Callaghan CJ,Shaw A,Godfrey EM,Bradley JA,Watson CJ,Pettigrew GJ

    更新日期:2015-11-01 00:00:00

  • A comparison of digital and screen-film mammography using quality control phantoms.

    abstract:AIM:To compare the performance of a direct digital mammography system with normal-view and magnified-view conventional screen-film methods using quality control phantoms. MATERIALS AND METHODS:Using a Siemens Mammomat((R))3000 and an Opdima((R))digital spot imaging and biopsy attachment, film and direct digital images...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1053/crad.2000.0521

    authors: Undrill PE,O'Kane AD,Gilbert FJ

    更新日期:2000-10-01 00:00:00

  • Utility of the instant (unprepared) enema in Crohn's colitis.

    abstract::Thirty-seven instant (unprepared) barium enemas in 30 patients with proven Crohn's colitis were reviewed. Plain films in 28 indicated that confluence or discontinuity of the colitis did not substantially alter the pattern of faecal residue. In only one patient was residue found overlying active mucosal disease. Aphtho...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)81454-0

    authors: Patel U,Bartram C

    更新日期:1993-05-01 00:00:00

  • The imaging of conditions affecting the cavernous sinus.

    abstract::The cavernous sinus can be affected by a wide range of conditions including tumours, infection, inflammation, and trauma. Disease in the cavernous sinus can produce characteristic signs and symptoms, which relate to the numerous crucial structures traversing and surrounding the cavernous sinus. Imaging, with the use o...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2010.06.009

    authors: Tang Y,Booth T,Steward M,Solbach T,Wilhelm T

    更新日期:2010-11-01 00:00:00

  • Stenosis in the aorta caused by non-specific aortitis: results of treatment by percutaneous stent placement.

    abstract:AIM:To evaluate the short-term results of percutaneous stent placement in treating stenosis in the aorta caused by non-specific aortitis (Takayasu's disease). METHOD:Five patients were treated by this method, all of whom had uncontrolled hypertension, haemodynamically significant stenosis in the aorta and a clinically...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(99)91239-4

    authors: Sharma S,Bahl VK,Saxena A,Kothari SS,Talwar KK,Rajani M

    更新日期:1999-01-01 00:00:00

  • Clonorchiasis of the pancreas.

    abstract::Three patients with pancreatic clonorchiasis were examined with endoscopic retrograde pancreatography. On each of the three cases there was diffuse irregular dilatation of tributaries of the pancreatic duct in the pancreatic tail. The main pancreatic duct and tributaries draining into the body and head portion were no...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)80967-5

    authors: Lim JH,Ko YT

    更新日期:1990-03-01 00:00:00

  • Cysts, cavities, and honeycombing in multisystem disorders: differential diagnosis and findings on thin-section CT.

    abstract::Pulmonary cysts, cavities, and honeycombing are seen in a number of systemic disorders. The purpose of this review is to discuss the findings on thin-section computed tomography (CT) in both congenital and acquired multisystem conditions that give rise to multiple cystic spaces in the lungs. Conditions discussed inclu...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2008.09.015

    authors: Grant LA,Babar J,Griffin N

    更新日期:2009-04-01 00:00:00

  • Prediction and clinical implications of portal vein/superior mesenteric vein invasion in patients with resected pancreatic head cancer: the significance of preoperative CT parameters.

    abstract:AIM:To determine the preoperative computed tomography (CT) parameters that predict portal vein/superior mesenteric vein (PV-SMV) invasion in patients with pancreatic head cancer, and to assess whether PV-SMV invasion affects patient survival. MATERIALS AND METHODS:Sixty patients with PV-SMV invasion, and 60 randomly s...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2018.01.016

    authors: Kim M,Kang TW,Cha DI,Kim YK,Kim SH,Jang KT,Han IW,Sohn I

    更新日期:2018-06-01 00:00:00

  • Mucocoele-like lesions: is surgical excision still necessary?

    abstract:AIM:To assess the rate of upgrade in our screening population to determine whether open excision biopsy of mucocoele-like lesions (MLL) is still required. MATERIALS AND METHODS:A retrospective review of the breast screening database from 1999-2014 was performed. RESULTS:MLL were identified on core biopsy in 113 women...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2017.06.012

    authors: Dash I,Dessauvagie B,Hardie M,Saunders C,Wylie E

    更新日期:2017-11-01 00:00:00

  • Recurrent pneumoperitoneum due to jejunal diverticulosis. With a review of the causes of spontaneous pneumoperitoneum.

    abstract::In the absence of abdominal operative procedures, symptomless spontaneous pneumoperitoneum is uncommon. The case is described of a patient with jejunal diverticulosis who developed spontaneous pneumoperitoneum on three occasions and brief details are given of six other cases of jejunal diverticulosis with pneumoperito...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(75)80070-5

    authors: Wright FW,Lumsden K

    更新日期:1975-07-01 00:00:00

  • Focal nodular and diffuse haematopoietic marrow hyperplasia in patients with underlying malignancies: a radiological mimic of malignancy in need of recognition.

    abstract:AIM:To report the authors' experience of focal nodular haematopoietic marrow hyperplasia (FNHMH) and diffuse haematopoietic marrow hyperplasia (DHMH) clinically masquerading as skip, distant, or disseminated metastasis in seven patients with underlying malignant neoplasms. MATERIALS AND METHODS:Five patients with FNHM...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2016.10.015

    authors: Chow LT,Ng AW,Wong SK

    更新日期:2017-03-01 00:00:00

  • Regional migratory osteoporosis: a review illustrated by five cases.

    abstract::Regional migratory osteoporosis is an uncommon self-limiting disease characterized by an arthralgia which migrates between the weight-bearing joints of the lower limb. The radiological features of the disease obtained by conventional radiography, CT, MRI and radionuclide scintigraphy are illustrated by means of five c...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2004.07.002

    authors: Toms AP,Marshall TJ,Becker E,Donell ST,Lobo-Mueller EM,Barker T

    更新日期:2005-04-01 00:00:00

  • The distended neonate.

    abstract::A prospective study, followed by a retrospective audit, was made of the radiographs and clinical features of 225 consecutive neonates with abdominal distension presenting during a period of 4 years. More than one major cause for the distension was found in a third of cases. Excluding cases of ano-rectal atresia, diagn...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(83)80217-7

    authors: Carty H,Brereton RJ

    更新日期:1983-07-01 00:00:00

  • Absence of oesophageal mucosal folds in systemic sclerosis.

    abstract::In a controlled study of barium swallow radiographs in systemic sclerosis, longitudinal oesophageal mucosal folds were absent in eight of 30 patients and in one of 30 control subjects (P less than 0.03). Patients without mucosal folds developed Raynaud's phenomenon at an earlier age than those who retained their mucos...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(79)80177-4

    authors: Owen JP,Muston HL,Goolamali SK

    更新日期:1979-09-01 00:00:00

  • Residual masses on follow-up computed tomography in patients with mediastinal non-Hodgkin's lymphoma.

    abstract::During the last 4 years we have treated four patients with extensive mediastinal non-Hodgkin's lymphoma (NHL). None had extrathoracic disease and they were clinically stage I-II. All received intensive combination chemotherapy and radiotherapy resulting in good response. Nevertheless, when treatment was completed, com...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(89)80183-7

    authors: Uematsu M,Kondo M,Tsutsui T,Murase T,Yorozu A,Hiramatsu H,Fujii H,Hashimoto S

    更新日期:1989-05-01 00:00:00

  • An exploratory study into the role of dynamic contrast-enhanced (DCE) MRI metrics as predictors of response in head and neck cancers.

    abstract:AIM:To assess the efficacy of dynamic contrast-enhanced magnetic resonance imaging (DCE MRI) in prediction of the response to treatment in patients with head and neck cancers (HNCs). METHODS AND MATERIALS:Twenty-one patients with advanced HNC, suitable for concurrent chemoradiotherapy underwent DCE MRI, for the quanti...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2012.03.005

    authors: Agrawal S,Awasthi R,Singh A,Haris M,Gupta RK,Rathore RK

    更新日期:2012-09-01 00:00:00

  • The management of generalised grade 2 non-Hodgkin's lymphomas (Report no 18).

    abstract::This report describes a comparison of combination chemotherapy (CHOP) with total body irradiation (TBI) in the management of Stages III and IV Grade 2 non-Hodgkin's lymphoma. This prospective randomised study was carried out by the BNLI between 1974 and 1978. One hundred and fourteen previously untreated patients were...

    journal_title:Clinical radiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0009-9260(81)80186-9

    authors: Pettingale KW

    更新日期:1981-09-01 00:00:00

  • Barium enema and endoscopy for the detection of colorectal neoplasia: sensitivity, specificity, complications and its determinants.

    abstract:AIM:To analyse sensitivity, specificity and complication rate of endoscopy, and barium enema for the detection of colorectal neoplasia. MATERIALS AND METHODS:A MEDLINE search was performed (1980-2000) directed at the endoscopic and radiologic literature on barium enema. Articles were selected based on the type of stud...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1053/crad.2000.0672

    authors: de Zwart IM,Griffioen G,Shaw MP,Lamers CB,de Roos A

    更新日期:2001-05-01 00:00:00

  • Dedifferentiated chondrosarcoma: use of MRI to guide needle biopsy.

    abstract:AIM:To describe the use of MRI to identify and biopsy areas of dedifferentiation in patients with a suspected diagnosis of dedifferentiated chondrosarcoma. MATERIALS AND METHODS:Low-grade chondrosarcoma is characterized at magnetic resonance imaging (MRI) as having a lobulate, hyperintense appearance on T2-weighted sp...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2003.08.009

    authors: Saifuddin A,Mann BS,Mahroof S,Pringle JA,Briggs TW,Cannon SR

    更新日期:2004-03-01 00:00:00

  • Is ureteric compression still necessary?

    abstract::A prospective randomised trial was performed to examine the value of ureteric compression in intravenous urography. Calyceal distension improved during the urogram in 68% of kidneys when compression was used, in contrast to an improvement of 43% in patients not receiving compression. In both heavy patients and those w...

    journal_title:Clinical radiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0009-9260(87)80026-0

    authors: Mawhinney RR,Gregson RH

    更新日期:1987-03-01 00:00:00

  • Feasibility of three-dimensional constructive interference in steady state sequences for evaluating the anterolateral ligament.

    abstract:AIM:The purpose of the study was to determine the feasibility of three-dimensional (3D) constructive interference in steady state (CISS) sequences for evaluating the anterolateral ligament (ALL). MATERIALS AND METHODS:Magnetic resonance imaging (MRI) of the right knee joint in 30 healthy volunteers was performed using...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2019.08.014

    authors: Zhu Y,Qiu X,Yu T,Zhang C,Zhao X,Duan F,Hao D

    更新日期:2019-12-01 00:00:00

  • Gastrointestinal and hepatobiliary radiology.

    abstract::This is the fifth in the series of short reviews of internet-based radiological learning resources and will focus on gastrointestinal (GI) and hepatobiliary radiology. Below are details of a few of the higher quality resources currently available. Most of the sites cater for medical students and trainee or non-special...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2006.01.005

    authors: Graham RN,Perriss RW,Scarsbrook AF

    更新日期:2006-05-01 00:00:00

  • Imaging of adult nasal obstruction.

    abstract::The commonest causes of nasal obstruction are rhinitis and chronic rhinosinusitis, which affect up to 30% and 14% of the adult population, respectively. The global financial burden is huge, estimated at $5 billion for rhinitis and $8.6 billion for chronic rhinosinusitis per annum in the USA. On referral for imaging, c...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2019.07.027

    authors: Whyte A,Boeddinghaus R

    更新日期:2020-09-01 00:00:00

  • Pictorial review: MR imaging of neuronal migration anomalies.

    abstract::Neuronal migration anomalies form a spectrum of congenital brain malformations with a variety of clinical manifestations. The widespread use of MRI in the investigation of neurological symptoms, and particularly in the imaging of epilepsy, has made the correct recognition and interpretation of these disorders importan...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/s0009-9260(96)80211-x

    authors: Boardman P,Anslow P,Renowden SA

    更新日期:1996-01-01 00:00:00

  • CT in pseudomyxoma peritonei: a review of 17 cases.

    abstract:AIM:To describe the computed tomography (CT) findings in pseudomyxoma peritonei. MATERIALS AND METHOD:Two observers independently and retrospectively reviewed the CT images of 17 consecutive patients (nine women, eight men, mean age 53 years) with histologically proven pseudomyxoma peritonei. RESULTS:Six patients had...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1053/crad.2002.0942

    authors: Sulkin TV,O'Neill H,Amin AI,Moran B

    更新日期:2002-07-01 00:00:00