Never Event Policy Analysis

The “Never Events” Policy
Context and Importance of the Problem
“Never Events” is serious, largely preventable measure that improves patient safety and detector for incidents that must not occur if the available preventative measures have been implemented by healthcare providers (Karen, Diannalyn & Sandrik, 2012).

In addition, current risk prevention methods may not be sufficient to prevent harms for all patients, but with “Never Events” policy can prevent more and more (Karen, Diannalyn & Sandrik, 2012).

Wrong site surgery, for example, could simply involve a small incision at the beginning of a surgical procedure, typically, if a member of a surgical team halts the surgery following this error and no serious harm results, the incident
Regardless of the outcome of an individual “Never Events” are always considered and described as serious incident framework, in addition the identifying the problems solutions are important to improve application of “Never Event” policy and improve patient safety; organizational leaders should make a patient safety program, mentorship, managing financial and human resources which is the most important elements and their performance and strategic planning which aimed to prevent harm while applying patient’s care by applying of “Never Events” policy (Pinnock, 2012).

Analyzing the problem and its causes strongly connected with activate the incident reports; commitment to rules and law; improving communication between health care provider and patients help to fix the policy in the organizations (Nygren, Roback, Ohrn, Rutberg, Rahmqvist & Nilsen,
Policy Recommendations
This policy should be punchy through consultation with stakeholders and offers a useful reference point for boards, clinicians, staff and patients. It does alter the basic principles of the “Never Events” policy and does amend all types of incidents, however, clarify of areas that caused some uncertainty and provide a comprehensive set of frequently asked questions to clarify some of the issues that health care providers and commissioners have raised.

For the purpose of this paper strongly recommend focusing on human’s factors, that all boards consider this refreshed framework and that medical and nursing directors take a lead to ensure that work is taken forward to improve patient safety and eradicate “Never Events” from health