Understanding Never Events

References 

1. National Quality Forum. National Quality Forum Updates endorsement of reportable events in healthcare. Press Release October 16, 2006. Available at: http://www.qualityforum.org/pdf/news/prSeriousReportableEvents10-15-06.pdf. Accessed March 19, 2009.
2. Minnesota Department of Health. Adverse health care events reporting system: What have we learned, 2009. Available at: http://www.health.state.mn.us/patientsafety/ae/aereport0108.pdf. Accessed March 19, 2009.
3. The Leapfrog Group Fact Sheet: Never Events, 2008. Available at: http://www.leapfroggroup.org/media/file/Leapfrog-Never_Events_Fact_Sheet.pdf. Accessed March 19, 2009.
4. Centers for Medicare and Medicaid (CMS). Medicare and Medicaid move aggressively to encourage greater patient safety in hospitals and reduce never events. Department of Health and Human Services. Press release, July 31, 2008.