Approach to Improving Safety. Error Reporting.
Safety Target. Inpatient suicide. Error Types.
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Epidemiology of Errors and Adverse Events. Content Areas. Facebook Twitter Linkedin Email.
Since the initial never event list was developed in , it has been revised multiple times, and now consists of 29 "serious reportable events" grouped into 7 categories: Surgical or procedural events Product or device events Patient protection events Care management events Environmental events Radiologic events Criminal events Table. Current Context Because Never Events are devastating and preventable, health care organizations are under increasing pressure to eliminate them completely.
Related Patient Safety Primers. Disclosure of Errors. Editor's Picks. Sentinel Event Alerts. The Joint Commission.
Journal Article. Web Resource.
Multi-use Website. Related Resources. Government Resource. Levinson DR. Unintended retention of a foreign object in a patient after surgery or other procedure. Patient death or serious injury associated with the use of contaminated drugs, devices, or biologics provided by the health care setting. Patient death or serious injury associated with the use or function of a device in patient care, in which the device is used for functions other than as intended. Patient death or serious injury associated with intravascular air embolism that occurs while being cared for in a health care setting.
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Patient death or serious disability associated with patient elopement disappearance. Patient suicide, attempted suicide, or self-harm resulting in serious disability, while being cared for in a health care facility. Patient death or serious injury associated with a medication error e. Patient death or serious injury associated with unsafe administration of blood products. Maternal death or serious injury associated with labor or delivery in a low-risk pregnancy while being cared for in a health care setting.
Death or serious injury of a neonate associated with labor or delivery in a low-risk pregnancy. Where did the path lead? Question time!
Who is the person entering the tunnel? What will she find if she keeps walking? Why has she dreamt of this moment before? Does the dream have a meaning?
The London That Never Was
Where has the girl come from? Does anyone else know she is there? What lies behind the trees on either side? Is she in danger? Perfect picture!
The Never - Wikipedia
Does the tunnel ever end? Can you draw what awaits at the end if there is one? Story starter!