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quinta-feira, 2 de abril de 2015

NGS publishes an updated list of Never Events 2015-2016

(Author of the text: NHS)
A revised Never Events Policy and Framework was published on 27 March 2015, this includes changes to the definition of what a Never Event is and adjustments to the types of incident that are included on the Never Events list, reducing the list from 25 to 14 incident types.
Never Events are serious incidents that are wholly preventable as guidance or safety recommendations that provide strong systemic protective barriers are available at a national level and should have been implemented by all healthcare providers.
Each Never Event type has the potential to cause serious patient harm or death. However, serious harm or death is not required to have happened as a result of a specific incident occurrence for that incident to be categorised as a Never Event.
 The never events list 2015/16
1. Wrong site surgery
2. Wrong implant/prosthesis
3. Retained foreign object post-procedure
4. Mis – selection of a strong potassium containing solution
5. Wrong route administration of medication
6. Overdose of Insulin due to abbreviations or incorrect device
7. Overdose of methotrexate for non-cancer treatment
8. Mis – selection of high strength midazolam during conscious sedation
9. Failure to install functional collapsible shower or curtain rails
10. Falls from poorly restricted Windows
11. Chest or neck entrapment in bedrails
12. Transfusion or transplantation of ABO-incompatible blood components or organs
13. Misplaced naso- or oro-gastric tubes
14. Scalding of patients

The original information and additional information can be found here:

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