Adam V. Russo | March 4, 2009
A. Never Events Defined
No universal definition exists for Never Events. That is why, for now, it is wise to avoid mentioning them in your plan document and policy language.
For now, we can generally agree that “Never Events” are services, supplies, care and/or treatment that results from errors in medical care that are clearly identifiable, preventable, and serious in their consequence for patients, including but not limited to air embolism, blood incompatibility, object left during surgery, catheter-associated urinary tract infections, pressure (decubitus) ulcers, vascular catheter-associated infection, surgical site infection, mediastinitis after coronary artery bypass graft (CABG) surgery, surgery performed on the wrong body part, surgery performed on the wrong patient, wrong surgical procedure performed, criminal events (e.g., sexual assault of a patient), falls and trauma, burns, electric shock, Legionnaires disease, failed glycemic control (e.g., Diabetic Ketoacidosis, Nonketotic Hyperosmolar Coma, Diabetic Coma, Hypoglycemic Coma), iatrogenic pneumothorax, delirium, ventilator associated pneumonia, staphylococcus aureus septicemia, clostridium difficile-associated disease (CDAD), and hospital-acquired injuries. (more…)
Category: Never Events |
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