(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
SURGICAL
1.
Wrong site surgery
2.
Wrong implant/prosthesis
3.
Retained foreign object post-procedure
MEDICATION
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
MENTAL HEALTH
9. Failure to install functional collapsible shower or
curtain rails
GENERAL
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: http://www.england.nhs.uk/ourwork/patientsafety/never-events/
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