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Cok Kinzler PLLP

Defining never events

Far too many of the clients that we here at Cok Kinzler PLLP have worked with in Bozeman have put their trust in doctors only to later have that violated due to egregious errors. Oftentimes, a provider will attempt to justify his or her mistake by saying that it is a common one that occurs in healthcare. You may be able to effectively counter such a claim if you understand the concept of never events.

The Agency for Healthcare Research and Quality states that the term “never events” was first used in the early 2000’s to describe surgical errors that should never occur. The National Quality Forum maintains the list, which currently consists of seven categories. These categories (along with the never events associated with them) are:

  •          Surgical events: Performing the wrong procedure on a patient; performing the right procedure on the wrong body part; leaving surgical instruments inside of a patient
  •          Product events: Using a defective or contaminated device or drug; using a surgical device for something other than its intended purpose
  •          Patient protection events: Patients disappearing, being discharged to unauthorized parties, or committing suicide or self-harm while admitted
  •          Care management events: Administering the wrong medication or blood product; death to mother or baby in a low-risk pregnancy; patient harm resulting from the loss of irreplaceable biological specimens or miscommunication of test results; patient falls; patients developing pressure ulcers
  •          Environmental events: Harm to patients or staff from exposure to electric shock, gas or fire; harm associated with bedrails or restraints
  •          Radiologic events: Harm caused by a metallic object in an MRI area

The seventh category refers to criminal actions perpetrated by providers or people posing as clinicians.

You can discover more information regarding healthcare provider errors by continuing to search through our site. 

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