American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Intrapulmonary placements of feeding tubes inserted with use of an electromagnetic placement device (EMPD) continue to occur. ⋯ User error was a significant factor, which highlights the need for empirical data to clarify the amount of training needed to safely credential EMPD operators. Clearer information is needed about anatomical variations that may contraindicate use of an EMPD, as well as medical devices that may interfere with an EMPD. Use of follow-up radiographs, interpreted by qualified personnel, is supported to increase the probability of identifying intrapulmonary tube placements.