The website of the Clinical Services Journal

Never Events: reviewing the criteria

The Healthcare Safety Investigation Branch (HSIB) has called into question a number of clinical incidents which attract the title of ‘Never Events’.

 Kate Woodhead RGN DMS discusses the findings of the HSIB’s review, including the complex factors that can lead to patient safety incidents.

Never Events are patient safety incidents which are considered to be wholly preventable where guidance or safety recommendations provide the framework for strong systemic protective barriers, which are implemented by providers of healthcare. Never Events are more common than one might assume, with 435 being recorded in England between April 2019 and February 2020 and, each year, they seem to remain stubbornly at the same level. Recent examples that have occurred in UK hospitals include the wrong hip replacement being put in during arthroplasty, surgical wire being left in a patient’s arm after heart surgery, a child being given an oral drug intravenously and the wrong fallopian tube being removed from a twenty-seven-year-old, resulting in infertility. 

A recently published report by the Healthcare Safety Investigation Branch  (HSIB)1 has called into question a number of clinical incidents which attract the title of ‘Never Events’. The analysis into ten Never Events found barriers that were neither strong nor systemic, thus identifying that they do not fit the present criteria for Never Events, as they are not wholly preventable.

Log in or register FREE to read the rest

This story is Premium Content and is only available to registered users. Please log in at the top of the page to view the full text. If you don't already have an account, please register with us completely free of charge.
Register

Upcoming Events

Advancing Ultrasound Probe Decontamination Study Day

Horizon Leeds, 2 Kendall Street #3rd Floor Leeds LS10 1JR
12th March 2024

Webinar: How to be Compliant and Sustainable In Healthcare

ONLINE
19th March 2024 & 21st March 2024 10 am CET time o

POCT Innovators: The Power to Disrupt Series

Cloth Hall Court, Leeds. UK
20 March, 2024

Central Sterilising Club - Annual Scientific Meeting 2024

Crowne Plaza at Gerrard’s Cross
15th April 2024 – 16th April 2024

DECON UK 2024

National Conference Centre, Birmingham
17th April 2024

Infection Prevention & Control

National Conference Centre, Birmingham
23rd - 24th April 2024

Access the latest issue of Clinical Services Journal on your mobile device together with an archive of back issues.

Download the FREE Clinical Services Journal app from your device's App store

Upcoming Events

Advancing Ultrasound Probe Decontamination Study Day

Horizon Leeds, 2 Kendall Street #3rd Floor Leeds LS10 1JR
12th March 2024

Webinar: How to be Compliant and Sustainable In Healthcare

ONLINE
19th March 2024 & 21st March 2024 10 am CET time o

POCT Innovators: The Power to Disrupt Series

Cloth Hall Court, Leeds. UK
20 March, 2024

Central Sterilising Club - Annual Scientific Meeting 2024

Crowne Plaza at Gerrard’s Cross
15th April 2024 – 16th April 2024

DECON UK 2024

National Conference Centre, Birmingham
17th April 2024

Infection Prevention & Control

National Conference Centre, Birmingham
23rd - 24th April 2024

Access the latest issue of Clinical Services Journal on your mobile device together with an archive of back issues.

Download the FREE Clinical Services Journal app from your device's App store

Step Communications Ltd, Step House, North Farm Road, Tunbridge Wells, Kent TN2 3DR
Tel: 01892 779999
www.step-communications.com
© 2024 Step Communications Ltd. Registered in England. Registration Number 3893025