Report: Never event frequency 'troubling,' standards lacking

Patient Safety Monitor Insider

June 23, 2015

Mandatory state reporting of adverse medical errors is lagging and changes are needed in the way hospitals and health systems define and analyze so-called “never events,” researchers say.

Changes are needed in the way the health system defines, collects information about, and analyzes so-called “never events,” according to Johns Hopkins patient safety experts writing in The Joint Commission Journal on Quality and Patient Safety.

Never events are serious adverse events that, as the name says, should never happen. But efforts to identify, report, and prevent them have been uneven.

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