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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 Investig

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Upcoming Events

Arab Health 2022

Dubai World Trade Centre
24th - 27th January

Knowlex Infection Prevention & Control 2022

National Conference Centre, Birmingham
8th - 9th February

Central Sterilising Club 60th Anniversary Annual Scientific Meeting

Crowne Plaza, Bridge Foot, Stratford-upon-Avon, CV37 6YR
4th - 5th April

iM Med Decontamination Academy Spring Conference

Royal College of Physicians, London
11th May 2022

NPAG Theatres and Decontamination Conference

Coventry Building Society Arena
19th May 2022

EBME Expo 2022

Coventry Building Society Arena, Phoenix Way, Rowleys Green, Coventry CV6 6GE
28th - 29th June

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

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