22. Patient Safety Flashcards

1
Q

Give some examples of ‘never events’ linked to:

a) surgery
b) medication
c) mental health
d) general

A

a) wrong site/ implant/ prosthesis, retained foreign object
b) incorrect administration of IV potassium, wrong route admin, overdose of insulin/ methotrexate for non cancer pts/ midazolam in sedation
c) failure to install functional collapsible shower/curtain rails
d) falls from poorly restricted windows, chest/neck entrapment in bed rails, transfusion/transplantation of ABO, misplaced oro/nasogastric tubes
e) scalding

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