Avanos medical inc.Received a single report that referenced 12 different incidences, which were associated with separate units, involving 12 different patients.This is the tenth of twelve reports.Refer to 3011270181-2020-00001 for the first report, refer to 3011270181-2020-00002 for the second report, refer to 3011270181-2020-00003 for the third report, refer to 3011270181-2020-00004 for the fourth report, refer to 3011270181-2020-00005 for the fifth report, refer to 3011270181-2020-00006 for the sixth report, refer to 3011270181-2020-00007 for the seventh report, refer to 3011270181-2020-00008 for the eighth report, refer to 3011270181-2020-00009 for the ninth report, refer to 3011270181-2020-00011 for the eleventh report, refer to 3011270181-2020-00012 for the twelfth report.It was reported in "undetected cortrak tube misplacements in the united kingdom 2010¿17: an audit of trace interpretation" stephen j.Taylor, kaylee allan, rowan clemente, that sometime between 2010 and 2017, a nasogastric tube was placed in the patient's lung.Placement was not confirmed by x-ray, and the patient received feed.The patient experienced aspiration pneumonia and then died.No further information was provided.
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