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Never Events Analysis of HSIB's National Investigations Report.

Never Events Analysis of HSIB's National Investigations Report. Farnborough, UK: Healthcare Safety Investigation Branch; January 2021.  

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February 3, 2021

Farnborough, UK: Healthcare Safety Investigation Branch; January 2021. 

 

Never events provide organizations with motivation to analyze and learn from errors due to their catastrophic nature. This National Learning Report provides a thematic examination of never events in the National Health Service (NHS). Recommendations include revision of the NHS never events list, identification of strong and systemic safety barriers, and review and revision of National Safety Standards for Invasive Procedures (NatSSIPs) policy to increase standardization.

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Never Events Analysis of HSIB's National Investigations Report. Farnborough, UK: Healthcare Safety Investigation Branch; January 2021.