Characteristics found in never event definitions | |||
Organisation | Preventability | Harm or severity | Accountability or transparency |
NQF10 | Largely preventable | Serious and adverse | Important for public transparency |
CMS3 | Usually preventable | Serious and/or adverse | Important for public credibility and/or accountability |
NHS1 | Wholly preventable when guidance or safety recommendations have been implemented | Potential to cause serious patient harm or death | Not addressed by this definition |
CPSI2 | Preventable by using organisational checks and balances | Results in serious patient harm or death | Not addressed by this definition |
OMEDIT14 | Preventable | Not addressed by this definition | Not addressed by this definition |
Cigna21 | Not addressed by this definition | Not addressed by this definition | Not addressed by this definition |
Leapfrog13 | Always preventable | Always harmful to patients | Not addressed by this definition |
UHA Health Insurance22 | Preventable | Serious in consequence to patient | Indicate a real problem in the safety and credibility of the facility |
CMS, Centers for Medicare and Medicaid Services; CPSI, Canadian Patient Safety Institute; NHS, National Health Service; NQF, National Quality Forum; OMEDIT, Observatoire de Medicament, des Dispotifs Medicaux et de l’Innovation Therapeutique; UHA, University Health Alliance.