There are a wide variety of different situations and scenarios that can constitute as a Never Event.
Errors that occur in surgery can include having the wrong limb or organ removed, or an implant or device placed in the wrong part of the body.
Retainment of foreign objects
This is when instruments, swabs, needles and other items used during surgery are not removed from the body following the procedure.
Medical administration errors
If the wrong dosage of medicine is given, not applied to the correct area, or not administered using the required utensils, methods or route, this can constitute a Never Event.
Blood transfusion incompatibility
Healthcare professionals are required to perform compatibility testing before performing blood transfusions on patients, to make sure blood types match. If this doesn’t occur, or any errors are made during testing, this can cause a severe reaction in patients that could even be life-threatening.
Misplacement of tubes
Where tubes are not placed in the correct part of the body, such as naso-gastric tubes, this can hinder the patient’s ability to absorb medication, fluids and nutrition, potentially having serious consequences.
If a patient is scalded when being washed through negligent care, this means that health and safety procedures were not correctly followed, and can constitute as a Never Event.
Risk assessment issues
Healthcare providers are required to carry out risk assessments to make sure that the safety of their patients is prioritised at all times. When risk assessments are not carried out effectively, this can result in accidents and injuries occurring, and potentially even death. This can include incidents such as patients suffering from falls that could have been prevented, entrapment in bed rails or failure to prevent vulnerable mental health patients from committing suicide.