Misc Notes

Question 1

What are the 3 surgical never events?

Answer 1

Wrong site surgery or wrong patient
Wrong implant/prosthesis
Retained foreign object in patient post procedure

Question 2

What are the 5 medication related never events?

Answer 2

Mis selection of strong K containing solution
Wrong route administration
Overdose of insulin due to abbreviations or incorrect dose
OD of methotrexate for non-Ca therapy
Mis selection of high strength midazolam for conscious sedation

Question 3

What are the 3 main wrong route administration of medications never events?

Answer 3

IV chemo given intrathecally
Enteral medication or feed/flush given parenterally
IV administration of medication intended to be epidural

Question 4

What is the only psychiatry never event?

Answer 4

Failure to have collapsible shower or curtain rails

Question 5

What are the 5 general never events?

Answer 5

Falls from poorly restricted windows
Chest or neck entrapment in bed rails
ABO mismatch transfusion (blood or organs)
Misplaced NG/OG tubes which are then used
Scalding of patients when washing/bathing