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Commentary

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):2388-90. doi:10.1056/NEJMp0809125.

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June 17, 2009
Milstein A. N Engl J Med. 2009;360(23):2388-90.

Never events represent a list of adverse events that are serious, unambiguous, and usually preventable. The National Quality Forum defined 28 never events in a 2007 consensus report that led to state mandates for reporting and financial implications for payment of services. This commentary discusses the context of these policy implications and how they are a small step toward motivating hospitals and clinicians to improve quality and safety.

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Milstein A. Ending extra payment for "never events"--stronger incentives for patients' safety. N Engl J Med. 2009;360(23):2388-90. doi:10.1056/NEJMp0809125.