ArticleArchives of disease in childhood2019
Paediatric enteral feeding at home: an analysis of patient safety incidents.
Article in Archives of disease in childhood, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Family Caregivers' Experiences of Services for Children With Medical Complexity: A Systematic Review and Qualitative Evidence Synthesis.Health expectations : an international journal of public participation in health care and health policy · 2025Pooled it
- Gold Standard Home Nasogastric Tube Feeding for Infants and Children.Journal of paediatrics and child health · 2025Review
- The impact of an enteral formula with food-derived ingredients on dietetic practice at a specialist children's hospital in the UK: Retrospective study.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Article
- Better understanding of use of blended diets and its benefits.Evidence-based nursing · 2025Article
- Family caregivers of children transitioning hospital to home receiving nasogastric feeding: descriptive qualitative study.Pediatric research · 2024Article
- As low as reasonably practicable (ALARP): a moral model for clinical risk management in the setting of technology dependence.Journal of medical ethics · 2024Article
- An After-Hours Virtual Care Service for Children With Medical Complexity and New Medical Technology: Mixed Methods Feasibility Study.JMIR pediatrics and parenting · 2023Article
- Coproduced resources to support parents caring for children with gastrostomies.Frontline gastroenterology · 2023Article
- Coproducing a library of videos to support families caring for children with gastrostomies: A mixed-methods evaluation with family carers and clinicians.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Article
- Training and support for caring for a child's gastrostomy: a survey with family carers.BMJ paediatrics open · 2021Article
- Analysis of paediatric long-term ventilation incidents in the community.Archives of disease in childhood · 2020Article
- Standardization Improves Discharge Care Coordination for Children with Nasogastric Tubes.Pediatric quality & safetyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo describe the nature and causes of patient safety incidents relating to care at home for children with enteral feeding devices.
methodsWe analysed incident data relating to paediatric nasogastric, gastrostomy or jejunostomy feeding at home from England and Wales' National Reporting and Learning System between August 2012 and July 2017. Manual screening by two authors identified 274 incidents which met the inclusion criteria. Each report was descriptively analysed to identify the problems in the delivery of care, the contributory factors and the patient outcome.
resultsThe most common problems in care related to equipment and devices (n=98, 28%), procedures and treatments (n=86, 24%), information, training and support needs of families (n=54, 15%), feeds (n=52, 15%) and discharge from hospital (n=31, 9%). There was a clearly stated harm to the child in 52 incidents (19%). Contributory factors included staff/service availability, communication between services and the circumstances of the family carer.
conclusionsThere are increasing numbers of children who require specialist medical care at home, yet little is known about safety in this context. This study identifies a range of safety concerns relating to enteral feeding which need further investigation and action. Priorities for improvement are handovers between hospital and community services, the training of family carers, the provision and expertise of services in the community, and the availability and reliability of equipment. Incident reports capture a tiny subset of the total number of adverse events occurring, meaning the scale of problems will be greater than the numbers suggest.
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