Nasogastric/Nasoenteric tube-related incidents in hospitalised patients: a study protocol of a multicentre prospective cohort study

• Published in: BMJ open Vol. 9; no. 7; p. e027967
• Main Authors: Gimenes, Fernanda Raphael Escobar, Pereira, Marta Cristiane Alves, Prado, Patricia Rezende do, Carvalho, Rhanna Emanuela Fontenele Lima de, Koepp, Janine, Freitas, Ligia Menezes de, Teixeira, Thalyta Cardoso Alux, Miasso, Adriana Inocenti
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 24.07.2019; BMJ Publishing Group
• Subjects: Cohort analysis; Comorbidity; Costs; Drug administration; Enteral nutrition; Health Services Research; Intensive care; Mortality; Nursing; Nutrition; Ostomy; Parenteral nutrition; Patient safety; Safety programs; Safety research; Teaching hospitals; Brazil; enteral nutrition; adverse effects; intubation, gastrointestinal; nasogastric intubation
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2018-027967

IntroductionHospitalised patients with nasogastric/nasoenteric tube (NGT/NET) are at constant risk of incidents; therefore, healthcare professionals need to routinely monitor risks and adopt strategies for patient safety and quality of care.AimThis study aimed to evaluate the NGT/NET-related incidents in hospitalised patients and associated factors.MethodsThis is a multicentre study, with a prospective cohort design. Data will be collected at the general medical ward of seven Brazilian hospitals in the north, northeast, southeast and south. The sample will consist of 391 patients that require an NGT/NET during hospitalisation. Three different methods will be used to identify the incidents: (1) healthcare professionals and patients/caregivers will be required to report any NGT/NET-related incidents; (2) researchers will visit the wards to get information about the incidents with healthcare professionals and patients/caregivers; (3) the researchers will review the medical records looking for information on the occurrence of any NGT/NET-related incidents. Demographic, clinical and therapeutic details will be obtained from the medical records and will be registered in an electronic data collection tool developed for the purposes of this study. The complexity of patients will be assessed by the Patient Classification System, and the severity of comorbid diseases will be assessed through the Charlson Comorbidity Index.Implication for practiceThe results may encourage the use of evidence effectively to influence the scientific foundation for clinical practice and the development of evidence-based policies that will prevent, manage and eliminate complications caused by NGT/NET-related incidents, and improve the quality and safety of care provided to hospitalised patients.Ethics and disseminationThe study has been approved by the Research Ethics Committee. Detailed information about the study can be provided by the principal investigator. The findings will be reported through academic journals, seminar and conference presentations, social media, print media, the internet and community/stakeholder engagement activities.