NHS to publish ‘never events’ lists
Monday 2nd September 2013, 1:20PM BST.
Health bosses are planning to shine the spotlight on NHS trusts that make basic, preventable mistakes when treating patients, reports suggest.
NHS England is to publish quarterly lists of all the “never events” recorded in the NHS, broken down by each trust, the Health Service Journal reported.
Such events are serious, largely preventable patient safety incidents which are never supposed to happen in the health service.
Examples include “foreign objects” such as surgical instruments or swabs being left inside patients’ bodies, patients being fitted with the wrong implant, and surgery on the wrong body part – or the wrong person.
There is a list of 25 “never events” and last year there were 299 such incidents in the NHS in England.
Dr Mike Durkin, director of patient safety at NHS England, said: “Annual data on the number of never events recorded nationally in different types of care settings has been published for a number of years. NHS England intends to begin publishing more detailed data on never events on a more regular basis very soon, providing more frequent information on the numbers and kinds of never events that occur in the NHS as part of its wider commitment to transparency but also to stimulate more learning and preventative action in the NHS.
“Every single never event is one too many and as Don Berwick made clear in his recent report we need to openly and publicly report and address safety problems, not so that people can lay blame inappropriately, but so that we can fully understand and therefore learn more from the safety problems that the NHS, like all healthcare systems, faces.”