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Never Events | PSNet - Agency for Healthcare …
- https://psnet.ahrq.gov/primer/never-events
- Although individual events are uncommon, on a population basis, many patients still experience these serious errors. A 2013 study estimated that more than 4000 surgical never events occur yearly in the United States. The Joint Commission has recommended that hospitals report "sentinel events" since 1995. Sentinel events are defined as "an unexpected occurrence involving death or serious physiological or psychological injury, or the risk thereof."
27 Never Events: They're Not Supposed to Happen, but …
- http://www.sixwise.com/newsletters/05/12/07/27-never-events-theyre-not-supposed-to-happen-but-they-often-do.htm
- This is the list compiled by the National Quality Forum, describing 27 mistakes (Illinois' list includes 24) that are so serious they should never happen: Surgery on the wrong body part Surgery on the wrong patient …
Medical Error Reduction and Prevention - StatPearls
- https://www.ncbi.nlm.nih.gov/books/NBK499956/
- A lack of standardized nomenclature and overlapping definitions of medical errors has hindered data analysis, synthesis, and …
Medical Error Reduction and Prevention - PubMed
- https://pubmed.ncbi.nlm.nih.gov/29763131/
- Never events are errors that should not ever have happened. A classic example of a never event is the development of pressure ulcers or wrong-site surgery. …
ELIMINATING SERIOUS, PREVENTABLE, AND …
- https://www.cms.gov/newsroom/fact-sheets/eliminating-serious-preventable-and-costly-medical-errors-never-events
- As part of its ongoing effort to pay for better care, not just more services and higher costs, the Centers for Medicare & Medicaid Services (CMS) today announced that …
Medicare and its Hospital Acquired Condition (HAC) rule
- https://www.verywellhealth.com/what-is-medicares-never-events-policy-2615384
- While there is research evidence to suggest the HAC programs have reduced the number of never events, healthcare providers continue to work at identifying best practices to keep their facilities …
Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery
- https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
- September 7, 2019 Background Few medical errors are as vivid and terrifying as those that involve patients who have undergone surgery on the wrong body part, undergone the incorrect procedure, or …
12 Most Famous Medical Malpractice Cases - Dirty …
- https://leightonlaw.com/12-famous-medical-malpractice-cases/
- Two of the mistakes were caught early enough to close the initial holes and treat the correct side, but the other surgery killed an 86-year-old patient. Believe it or not the surgeon who …
Thousands of Mistakes Made in Surgery Every Year
- https://www.webmd.com/a-to-z-guides/news/20121220/thousands-mistakes-surgery
- The consequences of surgical mistakes ranged from temporary injury in 59% of the cases to death in 6.6% of the cases and permanent injury in 33% of people …
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