A Comprehensive Guide to Managing Never Events and Hospital-Acquired Conditions.

Developing agreement on never events in primary care dentistry: an international eDelphi study.

Ensaldo-Carrasco E, Carson-Stevens A, Cresswell K, Bedi R, Sheikh A. Br Dent J. 2018;224:733-740.

Adverse Health Events in Minnesota: 14th Annual Public Report.

St. Paul, MN: Minnesota Department of Health; February 2018.

Defending a "never event."

Shepperd JR. J Healthc Risk Manag. 2017;37:17-22.

Patient safety in dentistry: development of a candidate 'never event' list for primary care.

Black I, Bowie P. Br Dent J. 2017;222:782-788.

Indiana Medical Error Reporting System: Final Report for 2015.

Whitson T, Garten B. Indianapolis, IN: Indiana State Department of Health; 2017.

The hidden costs of reconciling surgical sponge counts.

Steelman VM, Schaapveld AG, Perkhounkova Y, Storm HE, Mathias M. AORN J. 2015;102:498-506.

Getting rid of "never events" in hospitals.

Morgenthaler T, Harper CM. Harv Bus Rev. October 20, 2015.

Never Events for Hospital Care in Canada: Safer Care for Patients.

Toronto, ON: Health Quality Ontario and the Canadian Patient Safety Institute; September 2015. ISBN: 9781460666180.

Use of temporary names for newborns and associated risks.

Adelman J, Aschner J, Schechter C, et al. Pediatrics. 2015;136:327-333.

Surgical never events and contributing human factors.

Thiels CA, Lal TM, Nienow JM, et al. Surgery. 2015;58:515-521.

"Never events" and the quest to reduce preventable harm.

Austin JM, Pronovost PJ. Jt Comm J Qual Patient Saf. 2015;41:279-288.

Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis.

Attenello FJ, Wen T, Cen SY, et al. BMJ. 2015;350:h1460.

The July effect: an analysis of never events in the nationwide inpatient sample.

Wen T, Attenello FJ, Wu B, Ng A, Cen SY, Mack WJ. J Hosp Med. 2015;10:432-438.

Interventions for reducing wrong-site surgery and invasive procedures.

Algie CM, Mahar RK, Wasiak J, Batty L, Gruen RL, Mahar PD. Cochrane Database Syst Rev. 2015;3:CD009404.

Maryland Hospital Patient Safety Program Annual Report: Fiscal Year 2017.

Office of Health Care Quality. Baltimore, MD: Maryland Department of Health and Mental Hygiene; 2018.

Surgical never events in the United States.

Mehtsun WT, Ibrahim AM, Diener-West M, Pronovost PJ, Makary MA. Surgery. 2013;153:465-472.

Hospital Incident Reporting Systems Do Not Capture Most Patient Harm.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 2012. Report No. OEI-06-09-00091.

Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST).

Heddle NM, Fung M, Hervig T, et al; BEST Collaborative. Transfusion. 2012;52:1687-1695.

Serious Reportable Events in Healthcare—2011 Update.

Washington, DC: National Quality Forum; 2011. ISBN: 9780982842188.

Hospital Compare.

Centers for Medicare & Medicaid Services.