-
3
-
-
84896834594
-
-
NHS Scotland. accessed 8 Jan 2014
-
NHS Scotland. Welcome to the Scottish Patient Safety Programme. 2010. http://www.scottishpatientsafetyprogramme.scot.nhs.uk/programme (accessed 8 Jan 2014).
-
(2010)
Welcome to the Scottish Patient Safety Programme
-
-
-
5
-
-
84867720780
-
-
The Health Foundation Inspiring Improvement. London, The Health Foundation
-
The Health Foundation Inspiring Improvement. Learning report: Safer Patients Initiative. London, The Health Foundation, 2011.
-
(2011)
Learning Report: Safer Patients Initiative
-
-
-
6
-
-
80052090704
-
Policy update: Never events
-
Keogh SB, Beasley DC. Policy update: never events. Nurs Times 2011; 107(23): 12-13.
-
(2011)
Nurs Times
, vol.107
, Issue.23
, pp. 12-13
-
-
Keogh, S.B.1
Beasley, D.C.2
-
7
-
-
84896893601
-
Policy framework for use in the NHS
-
Department of Health
-
Department of Health. The "never events" list 2011/12. 2011. Policy framework for use in the NHS.
-
(2011)
The "Never Events" List 2011/12
-
-
-
8
-
-
66649092621
-
Ending extra payment for "never events" - Stronger incentives for patients' safety
-
Milstein A. Ending extra payment for "never events" - stronger incentives for patients' safety. N Engl J Med 2009; 360(23): 2388-2390.
-
(2009)
N Engl J Med
, vol.360
, Issue.23
, pp. 2388-2390
-
-
Milstein, A.1
-
9
-
-
84859039698
-
-
accessed 17 Jan 2014
-
National Quality Forum. Serious Reportable Events. http://www. qualityforum.org/Topics/SREs/Serious-Reportable-Events.aspx (accessed 17 Jan 2014).
-
Serious Reportable Events
-
-
-
10
-
-
79952978326
-
Prevention of 3 "never events" in the operating room: Fires, gossypiboma, and wrong-site surgery
-
Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Surg Innov 2011; 18(1): 55-60.
-
(2011)
Surg Innov
, vol.18
, Issue.1
, pp. 55-60
-
-
Zahiri, H.R.1
Stromberg, J.2
Skupsky, H.3
-
11
-
-
78651363687
-
Never events and related quality measures following total hip and total knee replacement
-
Kwong LM. Never events and related quality measures following total hip and total knee replacement. Orthopedics 2010; 33(11): 838.
-
(2010)
Orthopedics
, vol.33
, Issue.11
, pp. 838
-
-
Kwong, L.M.1
-
12
-
-
77955369711
-
Plastic surgeon compliance with national safety initiatives: Clinical outcomes and "never events"
-
Murphy RX, Jr, Peterson EA, Adkinson JM, Reed JF 3rd. Plastic surgeon compliance with national safety initiatives: clinical outcomes and "never events". Plast Reconstr Surg 2010; 126(2): 653-656.
-
(2010)
Plast Reconstr Surg
, vol.126
, Issue.2
, pp. 653-656
-
-
Murphy Jr., R.X.1
Peterson, E.A.2
Adkinson, J.M.3
Reed III, J.F.4
-
13
-
-
84865164489
-
Intraocular lens confusions: A preventable "never event" - The Royal Victorian Eye and Ear Hospital protocol
-
Zamir E, Beresova-Creese K, Miln L. Intraocular lens confusions: a preventable "never event" - The Royal Victorian Eye and Ear Hospital protocol. Surv Ophthalmol 2012; 57(5): 430-447.
-
(2012)
Surv Ophthalmol
, vol.57
, Issue.5
, pp. 430-447
-
-
Zamir, E.1
Beresova-Creese, K.2
Miln, L.3
-
14
-
-
14144250068
-
Kernicterus as a 'never-event': A newborn safety standard?
-
Bhutani VK. Kernicterus as a 'Never-Event': a newborn safety standard? Indian J Pediatr 2005; 72(1): 53-56. (Pubitemid 40282581)
-
(2005)
Indian Journal of Pediatrics
, vol.72
, Issue.1
, pp. 53-56
-
-
Bhutani, V.K.1
-
15
-
-
79954465619
-
Pediatric tracheotomy wound complications: Incidence and significance
-
Jaryszak EM, Shah RK, Amling J, Pena MT. Pediatric tracheotomy wound complications: incidence and significance. Arch Otolaryngol Head Neck Surg 2011; 137(4): 363-336.
-
(2011)
Arch Otolaryngol Head Neck Surg
, vol.137
, Issue.4
, pp. 363-1336
-
-
Jaryszak, E.M.1
Shah, R.K.2
Amling, J.3
Pena, M.T.4
-
16
-
-
33646094219
-
Obstetrical "never events"
-
Simpson KR. Obstetrical "never events". MCN Am J Matern Child Nurs 2006; 31(2): 136.
-
(2006)
MCN Am J Matern Child Nurs
, vol.31
, Issue.2
, pp. 136
-
-
Simpson, K.R.1
-
17
-
-
58949083100
-
Home care agencies take note: The herald of CMS "never events"
-
Suter P. Home care agencies take note: the herald of CMS "never events". Home Healthc Nurse 2008; 26(10): 647-648.
-
(2008)
Home Healthc Nurse
, vol.26
, Issue.10
, pp. 647-648
-
-
Suter, P.1
-
18
-
-
77956865045
-
PCT leads by example on community 'never events'
-
Lomas C. PCT leads by example on community 'never events'. Nurs Times 2010; 106(23): 1.
-
(2010)
Nurs Times
, vol.106
, Issue.23
, pp. 1
-
-
Lomas, C.1
-
20
-
-
19544388999
-
-
Chichester: Wiley-Blackwell/BMJ Books
-
Vincent C. Patient safety. Chichester: Wiley-Blackwell/BMJ Books, 2010.
-
(2010)
Patient Safety
-
-
Vincent, C.1
-
23
-
-
84896869724
-
-
The Health Foundation. London: The Health Foundation
-
The Health Foundation. Evidence scan. Levels of harm. London: The Health Foundation, 2011.
-
(2011)
Evidence Scan. Levels of Harm
-
-
-
25
-
-
84896815513
-
Public Expenditure on Health and Personal Social Services 2009 - Health Committee
-
House of Commons Health Committee. London: The Stationary Office
-
House of Commons Health Committee. Public Expenditure on Health and Personal Social Services 2009 - Health Committee. How many NHS GP consultations are estimated to have taken place in each year from 1995?. London: The Stationary Office, 2010.
-
(2010)
How Many NHS GP Consultations Are Estimated to Have Taken Place in Each Year from 1995?
-
-
-
26
-
-
0022970868
-
Determination and quantification of content validity
-
Lynn MR. Determination and quantification of content validity. Nurs Res 1986; 35(6): 382-385. (Pubitemid 17184381)
-
(1986)
Nursing Research
, vol.35
, Issue.6
, pp. 382-385
-
-
Lynn, M.R.1
-
29
-
-
84896862059
-
Process and action for Primary Care Trusts 2009/10
-
National Patient Safety Agency. National Reporting and Learning Service. London: National Patient Safety Agency
-
National Patient Safety Agency. National Reporting and Learning Service. Never Events Framework 2009/10. Process and action for Primary Care Trusts 2009/10. London: National Patient Safety Agency, 2009.
-
(2009)
Never Events Framework 2009/10
-
-
-
30
-
-
58149129750
-
Causes of preventable drug-related hospital admissions: A qualitative study
-
Howard R, Avery A, Bissell P. Causes of preventable drug-related hospital admissions: a qualitative study. Qual Saf Health Care 2008; 17(2): 109-116.
-
(2008)
Qual Saf Health Care
, vol.17
, Issue.2
, pp. 109-116
-
-
Howard, R.1
Avery, A.2
Bissell, P.3
-
31
-
-
70350703044
-
Quality of medication use in primary care - mapping the problem, working to a solution: A systematic review of the literature
-
Garfield S, Barber N, Walley P, et al. Quality of medication use in primary care - mapping the problem, working to a solution: a systematic review of the literature. BMC Med 2009; 7: 50.
-
(2009)
BMC Med
, vol.7
, pp. 50
-
-
Garfield, S.1
Barber, N.2
Walley, P.3
-
32
-
-
84863576292
-
Systems-based safety intervention: Reducing falls with injury and total falls on an orthopaedic ward
-
Lohse GR, Leopold SS, Theiler S, et al. Systems-based safety intervention: reducing falls with injury and total falls on an orthopaedic ward. J Bone Joint Surg Am 2012; 94(13): 1217-1222.
-
(2012)
J Bone Joint Surg Am
, vol.94
, Issue.13
, pp. 1217-1222
-
-
Lohse, G.R.1
Leopold, S.S.2
Theiler, S.3
-
33
-
-
65249180158
-
Targeting "never events"
-
Rosenthal K. Targeting "never events". Nurs Manage 2008; 39(12): 35-38.
-
(2008)
Nurs Manage
, vol.39
, Issue.12
, pp. 35-38
-
-
Rosenthal, K.1
-
34
-
-
84865305657
-
Procedures and training review aims to bring an end to 'never event'
-
Gillen S. Procedures and training review aims to bring an end to 'never event'. Nurs Stand 2012; 26(52): 12-13.
-
(2012)
Nurs Stand
, vol.26
, Issue.52
, pp. 12-13
-
-
Gillen, S.1
-
35
-
-
70149110684
-
"Never events": Not every hospital-acquired infection is preventable
-
Brown J, Doloresco Iii F, Mylotte JM. "Never events": not every hospital-acquired infection is preventable. Clin Infect Dis 2009; 49(5): 743-746.
-
(2009)
Clin Infect Dis
, vol.49
, Issue.5
, pp. 743-746
-
-
Brown, J.1
Doloresco III, F.2
Mylotte, J.M.3
-
36
-
-
77958550275
-
Wrong-site and Wrong-patient procedures in the universal protocol era: Analysis of a prospective database of physician self-reported occurrences
-
Stahel PF, Sabel AL, Victoroff MS, et al. Wrong-site and Wrong-patient procedures in the universal protocol era: analysis of a prospective database of physician self-reported occurrences. Arch Surg 2010; 145(10): 978-984.
-
(2010)
Arch Surg
, vol.145
, Issue.10
, pp. 978-984
-
-
Stahel, P.F.1
Sabel, A.L.2
Victoroff, M.S.3
-
37
-
-
84864472113
-
Endophthalmitis is not a "never event"
-
Schachat AP, Rosenfeld PJ, Liesegang TJ, Stewart MW. Endophthalmitis is not a "never event". Ophthalmology 2012; 119(8): 1507-1508.
-
(2012)
Ophthalmology
, vol.119
, Issue.8
, pp. 1507-1508
-
-
Schachat, A.P.1
Rosenfeld, P.J.2
Liesegang, T.J.3
Stewart, M.W.4
-
38
-
-
75749158068
-
When 'never-events' occur despite adherence to clinical guidelines: The case of venous thromboembolism in clear cell cancer of the ovary compared with other epithelial histologic subtypes
-
Duska LR, Garrett L, Henretta M, et al. When 'never-events' occur despite adherence to clinical guidelines: the case of venous thromboembolism in clear cell cancer of the ovary compared with other epithelial histologic subtypes. Gynecol Oncol 2010; 116(3): 374-377.
-
(2010)
Gynecol Oncol
, vol.116
, Issue.3
, pp. 374-377
-
-
Duska, L.R.1
Garrett, L.2
Henretta, M.3
-
39
-
-
84863464914
-
The battle of words and the reality of never events in breast reconstruction: Incidence, risk factors predictive of occurrence, and economic cost analysis
-
Adetayo OA, Salcedo SE, Biskup NI, Gupta SC. The battle of words and the reality of never events in breast reconstruction: incidence, risk factors predictive of occurrence, and economic cost analysis. Plast Reconstr Surg 2012; 130(1): 23-29.
-
(2012)
Plast Reconstr Surg
, vol.130
, Issue.1
, pp. 23-29
-
-
Adetayo, O.A.1
Salcedo, S.E.2
Biskup, N.I.3
Gupta, S.C.4
-
40
-
-
77149171491
-
Patient characteristics and the occurrence of never events
-
Fry DE, Pine M, Jones BL, Meimban RJ. Patient characteristics and the occurrence of never events. Arch Surg 2010; 145(2): 148-151.
-
(2010)
Arch Surg
, vol.145
, Issue.2
, pp. 148-151
-
-
Fry, D.E.1
Pine, M.2
Jones, B.L.3
Meimban, R.J.4
-
41
-
-
84878292700
-
Predictors of never events in patients undergoing radical dissection of cervical lymph nodes
-
Allareddy V, Karimbux NY, Dodson TB, Lee MK. Predictors of never events in patients undergoing radical dissection of cervical lymph nodes. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 115 (6): 710-716.
-
(2013)
Oral Surg Oral Med Oral Pathol Oral Radiol
, vol.115
, Issue.6
, pp. 710-716
-
-
Allareddy, V.1
Karimbux, N.Y.2
Dodson, T.B.3
Lee, M.K.4
-
42
-
-
77149158171
-
Broadening never events: Is it a plausible road to improved patient safety?
-
MacLeod JB. Broadening never events: is it a plausible road to improved patient safety? Arch Surg 2010; 145(2): 151-152.
-
(2010)
Arch Surg
, vol.145
, Issue.2
, pp. 151-152
-
-
MacLeod, J.B.1
-
43
-
-
79951749158
-
Never events
-
Harrop-Griffiths W. Never events. Anaesthesia 2011; 66(3): 158-162.
-
(2011)
Anaesthesia
, vol.66
, Issue.3
, pp. 158-162
-
-
Harrop-Griffiths, W.1
-
44
-
-
76249088589
-
Potential financial impact of restriction in "never event" and periprocedural hospital-acquired condition reimbursement at a tertiary neurosurgical center: A single-institution prospective study
-
Teufack SG, Campbell P, Jabbour P, et al. Potential financial impact of restriction in "never event" and periprocedural hospital-acquired condition reimbursement at a tertiary neurosurgical center: a single-institution prospective study. J Neurosurg 2010; 112(2): 249-256.
-
(2010)
J Neurosurg
, vol.112
, Issue.2
, pp. 249-256
-
-
Teufack, S.G.1
Campbell, P.2
Jabbour, P.3
-
45
-
-
71249118399
-
Medicare's new regulations for deep vein thrombosis as a 'never event': Wise or worrisome?
-
Piazza G, Goldhaber SZ. Medicare's new regulations for deep vein thrombosis as a 'never event': wise or worrisome? Am J Med 2009; 122(11): 975-976.
-
(2009)
Am J Med
, vol.122
, Issue.11
, pp. 975-976
-
-
Piazza, G.1
Goldhaber, S.Z.2
-
46
-
-
80052059569
-
Errors in administrative-reported ventilator-associated pneumonia rates: Are never events really so?
-
Thomas BW, Maxwell RA, Dart BW, et al. Errors in administrative-reported ventilator-associated pneumonia rates: are never events really so? Am Surg 2011; 77(8): 998-1002.
-
(2011)
Am Surg
, vol.77
, Issue.8
, pp. 998-1002
-
-
Thomas, B.W.1
Maxwell, R.A.2
Dart, B.W.3
-
48
-
-
58849122821
-
Centers for Medicare and Medicaid Services' "never events": An analysis and recommendations to hospitals
-
Mattie AS, Webster BL. Centers for Medicare and Medicaid Services' "never events": an analysis and recommendations to hospitals. Health Care Manag (Frederick) 2008; 27(4): 338-349.
-
(2008)
Health Care Manag (Frederick)
, vol.27
, Issue.4
, pp. 338-349
-
-
Mattie, A.S.1
Webster, B.L.2
-
50
-
-
84874798371
-
Can we quantify harm in general practice records? An assessment of precision and power using computer simulation
-
de Wet C, Johnson P, O'Donnell C, Bowie P. Can we quantify harm in general practice records? An assessment of precision and power using computer simulation. BMC Med Res Methodol 2013; 13(39): 1-14.
-
(2013)
BMC Med Res Methodol
, vol.13
, Issue.39
, pp. 1-14
-
-
De Wet, C.1
Johnson, P.2
O'Donnell, C.3
Bowie, P.4
-
51
-
-
67649378445
-
What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?
-
Schedlbauer A, Prasad V, Mulvaney C, et al. What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior? J Am Med Inform Assoc 2009; 16(4): 531-538.
-
(2009)
J Am Med Inform Assoc
, vol.16
, Issue.4
, pp. 531-538
-
-
Schedlbauer, A.1
Prasad, V.2
Mulvaney, C.3
-
52
-
-
77952410164
-
The management of test results in primary care: Does an electronic medical record make a difference?
-
Elder NC, McEwen TR, Flach J, et al. The management of test results in primary care: does an electronic medical record make a difference? Fam Med 2010; 42(5): 327-323.
-
(2010)
Fam Med
, vol.42
, Issue.5
, pp. 327-1323
-
-
Elder, N.C.1
McEwen, T.R.2
Flach, J.3
-
53
-
-
67749142302
-
Management of test results in family medicine offices
-
Elder NC, McEwen TR, Flach JM, Gallimore JJ. Management of test results in family medicine offices. Ann Fam Med 2009; 7(4): 343-351.
-
(2009)
Ann Fam Med
, vol.7
, Issue.4
, pp. 343-351
-
-
Elder, N.C.1
McEwen, T.R.2
Flach, J.M.3
Gallimore, J.J.4
|