Speaking at the latest board meeting last month, Stephen Mayo, interim director of nursing for patient experience at Thurrock CCG, called for a “deep dive” into what caused the incidents.
He said: “There were 85 serious incidents across the acute during this period and one never event which related to an angiogram commenced on an incorrect leg.
“This brings the total of never events during this time period to five. Four of them are related to wrong site surgery and one to a medication incident within maternity.
“We have requested that there is a deep dive regarding these never events and reporting to our system quality group. They need to take as part of that reporting process the impact on patients and staff within their investigation and going forward.”
...but possibly, I'd mean
something rather different. Something
very different!
I speeka da Ingleesh. What means this "deep dive"? What is a "Never event"?
ReplyDeleteDo they do this deliberately?
https://www.sochealth.co.uk/sp/health/never-events-in-the-nhs-explained/
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