To Err Is Human—But Don't Expect to Get Paid For It.
Approach to Improving Safety
- Read Back Protocols
- Failure Mode Effects Analysis
- Education and Training
- Rapid Response Team
- Never Events
- Nosocomial Infections
- Pressure Ulcers
- Venous Thrombosis and Thromboembolism
- Retained Surgical Instruments and Sponges
- Patient Falls
- Surgical Site Infections
Setting of Care
This report describes strategies for health care institutions to prevent never events, based on results of a 2008 survey of quality professionals.