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PSNet: Patient Safety Network
Newspaper/Magazine Article

EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived

Arditi L. EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived. Peoples Public Radio. December 3, 2019.

Emergency medical services are often provided under chaotic circumstances that may contribute to failure. This story highlights a series of esophageal intubation errors and efforts to minimize this “never event” across the state of Rhode Island. Improvement strategies discussed include practice restrictions for EMT personnel and use of less invasive, less risky processes to provide oxygen as an alternative to intubation, which may reduce esophageal intubation errors