Paper on never events

Paper on never events

Paper on never events: The 1999 IOM report revealed many safety initiatives including Never Events. Currently, we have 28 Never Events, which are normally preventable, identifiable clearly, lucid, they concern healthcare and public professionals, and they can feature in a report. In the report, the risks are associated to procedures and policies, disability, loss of body part, and deaths. Further, it is adverse and indicates the existence of a problem in healthcare settings, and significant for public integrity and accountability. The events above are appropriately monikered “Never Events” as their happening is a mistake. If appropriate strategies are adopted, then the events should never occcur.

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Centers for Medicare and Medicaid (CMS) announced that federal payor programs will no longer reimburse for treatment of complications related to care. These events are “reasonably preventable if following evidence based guidelines” (O’Rourke, P. T., 2009). Inadequate nurse staffing has been associated with higher rates of adverse events. “The effectiveness of nurse surveillance is influenced by the number of RN’s available to assess patients on an ongoing basis (Di Leonardi, B.C., Faller, M., & Siroky, K. n.d.). CMS offers nurses the opportunity to take on a leadership role in preventing never events (A., 2010). The ability of nurses to prevent medical errors in more than half of all never events are nursing sensitive, especially falls and ulcers. Nurses are now viewed as an investment and this is because when nursing staff is increases, patient care improves (A., 2010).

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