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NGPOD Global - ECO14: Patient Safety

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Page 1: NGPOD Global - ECO14: Patient Safety

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NGPOD Global Ltd

©NGPOD Global Ltd 2017

“ The work we are doing with NGPOD Global will revolutionise the way we

look after patients with nasogastric tubes ”

-Tracey Early Consultant Nutrition Nurse, Royal Preston Hospital.

Page 2: NGPOD Global - ECO14: Patient Safety

Patient Safety

Use of misplaced nasogastric tubes was first recognised as a patient safety issue bythe National Patient Safety Agency (NPSA) in 2005.

Further alerts issued by the NPSA and NHS Improvement in 2011, 2013 & 2016

In the UK, between April 2017 and October 2017, 13 incidents were reported tothe National Reporting and Learning System (NRLS)

Guidelines require that clinicians confirm the correct position of the tube

before each feed commences.

In the UK and US, between 2-4% of all tubes are misplaced.

*figures taken from the NHSI Patient Safety Alerts

Page 3: NGPOD Global - ECO14: Patient Safety

- Stomach contents aspirated via syringe; - pH paper used to measure pH level of aspirate:

• Unpleasant, messy and often difficult / impossible

• Carries a risk of contamination

• Requires interpretation

• Time consuming

• Costs up to £10.98/test*

• 40-70% Success rate

Current Practice – pH of Aspirate

First line method used to confirm tube placement

*cost figures based on BMC Health Service Research Paper 2014© NGPOD GLOBAL Ltd 2017

Page 4: NGPOD Global - ECO14: Patient Safety

- X-Ray patient

• Requires access to expensive X-ray equipment

• Requires clinician to interpret results

• Patient needs to be moved

• X-ray harmful to patient

• Costs up to £100/test*

• 45% of Never Events are caused by x-ray

misinterpretation

Current Practice – X Ray

Second line method used to when no aspirate can be obtained

*cost figures based on BMC Health Service Research Paper 2014© NGPOD GLOBAL Ltd 2017

Page 5: NGPOD Global - ECO14: Patient Safety

The NGPod is a simple device comprising a disposable fiber optic sensor and small, hand-held light source

• The sensor is inserted into in-situ NG tube until the end of the sensor sits at the bottom of NG tube

• Tip of the sensor houses a chemical indicator which changes colour at a pre-determined pH level.

• Colour change detected by clinician attaching the light source at top end of the cable and device giving a clear Yes / No indication

If NG tube is correctly positioned in the stomach, the acidic environment will cause the indicator to change colour

Intubation as normal Connect POD

Press button

7. The Solution - NGPod

Indicator will light greenif correct pH

has been detected

Indicator will light red if INCORRECT pH has been

detected

If the NG tube is not correctly positioned – e.g. in the lung– the indicator will not change colour

“Red” indicator colour means do not feed

© NGPOD GLOBAL Ltd 2017

Page 6: NGPOD Global - ECO14: Patient Safety

- Improved patient safety and experience

- Benefits for Clinicians and care providers

- Reduction in Cost to the NHS

Summary

© NGPOD GLOBAL Ltd 2017

Page 7: NGPOD Global - ECO14: Patient Safety

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Thank you

©NGPOD Global Ltd 2017