Clarifying "never events and introducing "always events"
نویسندگان
چکیده
Despite the widespread usage of the term "never events," the National Quality Forum (NQF) refers to these events as "serious reportable events" in all of their definitions and references. In this editorial, we use the popular but likely improper term "never events" as it further illustrates the public's perception of adverse occurrences. Although the preferred terminology reverts to "serious reportable events", this definition may be unlikely be given the prevalence of the viscerally moving term "never event."
منابع مشابه
Statistical Monitoring of Rare Events in Healthcare
There are miscellaneous quality characteristics in healthcare which are interested to be monitored. However, monitoring each characteristic needs a special statistical method. There are some characteristics with very small incidence rates that it’s usually considered not to be necessary to monitoring them, since their incidence rates are so small that p and np charts are not able to monitor t...
متن کاملEvaluation of the frequency of 28 errors (Never Event) and related factors in the operating room in hospitals of Lorestan University of Medical Sciences in a period of 2 years (April 2018 to March 2020).
Background and Objectives: 28 Errors or Never Events are cases that should never happen and in case of occurrence, the Vice Chancellor of the University should be informed immediately and the Vice Chancellor should inform the Office of Supervision and Accreditation of the Deputy Minister of Health within a maximum of 6 hours. Materials and Methods: The present study is a retrospective cross-s...
متن کاملApplying a climatologically oriented GIS in comparison of TRMM estimated severe thunderstorm rainfalls with ground truth in Sydney metropolitan area
The main objective of the current research was comparison of severe thunderstorm rainfalls with TRMM data when flash flooding events observed in the Sydney Metropolitan Area (SMA) located in NSW, Australia. Severe Thunderstorm Rainfall Events have been first extracted from the severe storm archive of the Australian BOM, by induction of specific criteria. The corresponded derived dataset includ...
متن کاملMethod of Grading Subway Stations Based on Evacuation Capability: A Quantitative Method
Stations are the main components of the subway systems. Despite the progress in the construction and maintenance, stations have always been exposed to the natural and man-made disasters. In such incidents, the station’s evacuation capability has a direct relation with a passenger's life. Various factors affect the station's evacuation capability. Investigation of these factors and evaluation of...
متن کاملMedical conferences in the post-COVID world: challenges and and opportunities
Holding medical congresses and seminars has always been one of the scientific manifestations of scientific associations. In the statute of scientific associations, holding scientific meetings is mentioned as one of the basic pillars, and the Iranian association of clinical laboratory doctors is no exception to the rule. Scientific congresses are events where the latest scientific findings in th...
متن کامل