Never Events Policy Summary

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The “Never Events” Policy
Executive Summary
Protecting all patients from avoidable medical errors or harms is universal agreement, How it achieve this is often very complex (National Patient Safety Agency [NHS], 2012). With “Never Event” policy, clearly defined the most processes and procedures that’s needed for patients to help ensure that these incidents do not happen and keep patient safe (NHS, 2010).
Although the occurrence of the “Never Events” is easily recognized and clearly defined this requirement helps minimize conflict around who makes error, and ensures focus on learning and improving patient safety, In addition the rationale behind a type of serious incident being included on the ““Never Events” s” list is that there are barriers …show more content…

Wrong site surgery for example could simply involve a small incision at the beginning of a surgical procedure, Typically, if a member of a surgical team halts the surgery following this error and no serious harm results, the incident is still a wrong site surgery “Never Event” , not a prevented “Never Events” (Mehtsun, Ibrahim, Diener, Pronovost & Makary, 2012). This is because the required checks and procedures cannot have been implemented correctly and the patient still requires further surgery on the correct site (Mehtsun, Ibrahim, Diener, Pronovost and Makary, 2012; I.Moppett & S.Moppett, …show more content…

This will require root cause analysis which will not only examine such issues as compliance with, and the robustness of, relevant processes and procedures but also the role of human factors and how, if possible, these can be mitigated against to reduce the risk of recurrence further. Also it requires vigilance and the need to identify where the risk of a “Never Event” occurring exists before a patient is harmed, so-called prevented “Never Event”. More instructions needed from higher managers to ensure the activation of the quality department which includes risk management part, via more courses and workshops.

All health care providers, managers, leaders and even patients and their families, should work with each other toward creating an environment that helps in improving and promoting patient safety. Managers should establish educating and training programs.

Policy

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