"Never events" back in the news.Two years ago, Minneapolis-based HealthPartners Inc. made headlines by requiring providers who serve their members to report the commission of "never event" medical errors to the state health department and to not bill members for these errors. Now, never events are back in the headlines. In mid-November 2006, The Leapfrog Group and the Midwest Business Group on Health joined forces to urge hospitals to commit to a new policy on how they treat never events. This corporate joining of hands and urging of support followed the National Quality Forum's (NQF NQF National Qualifications Framework NQF National Quality Forum NQF Norsk Quilteforbund (Norwegian Quilt Association) NQF Neutron Quality Factor ) finalization Writing the table of contents (TOC) on a recordable CD or DVD disc. The finalization process ensures that the disc can be played back on most CD and DVD players. See disc-at-once. of its revised list of 28 "Serious Reportable Events serious reportable event Patient care A health care event resulting in death, serious injury or other significant harm Types Surgical; product/ device-related; Pt protection; Pt care; environmental; criminal Examples Surgery on wrong body part, on wrong Pt, ," dubbed dub 1 tr.v. dubbed, dub·bing, dubs 1. To tap lightly on the shoulder by way of conferring knighthood. 2. To honor with a new title or description. 3. never events. The updated NQF never-event list includes 21 events from NQF's original 2002 list that have remained uncharged, plus six never events for which specifications have changed and the addition of a new event (artificial insemination artificial insemination, technique involving the artificial injection of sperm-containing semen from a male into a female to cause pregnancy. Artificial insemination is often used in animals to multiply the possible offspring of a prized animal and for the breeding via the wrong donor). Today, 11 states use this information as the foundation of their public accountability mandate for reporting to state health departments or reporting authorities. |
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