Surgical caseload and the risk of surgical Never Events in England

Never Events are medical errors that are believed to be preventable with appropriate measures. We surveyed all English acute NHS trusts to determine the number of surgical Never Events and surgical caseload for 2011–2014. There were 742 surgically related Never Events in three years, with no change...

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Main Authors: Moppett, I.K., Moppett, S.H.
Format: Article
Published: Wiley 2015
Online Access:https://eprints.nottingham.ac.uk/42804/
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author Moppett, I.K.
Moppett, S.H.
author_facet Moppett, I.K.
Moppett, S.H.
author_sort Moppett, I.K.
building Nottingham Research Data Repository
collection Online Access
description Never Events are medical errors that are believed to be preventable with appropriate measures. We surveyed all English acute NHS trusts to determine the number of surgical Never Events and surgical caseload for 2011–2014. There were 742 surgically related Never Events in three years, with no change in the number annually. The risk of a surgical Never Event was 1 in 16 423 operations (95% CI 1 in 15 283 to 1 in 17 648) or 1 Never Event per 12.9 operating theatres per year (95% CI 1 in 12.1 to 1 in 13.9). The risk of severe harm due to a Never Event was approximately 1 in 238 939 operations. There was no meaningful association between number of Never Events and other safety indicators. Surgical Never Events are undoubtedly important to individual patients, but they are not a useful metric to judge quality of care.
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spelling nottingham-428042020-05-04T17:27:16Z https://eprints.nottingham.ac.uk/42804/ Surgical caseload and the risk of surgical Never Events in England Moppett, I.K. Moppett, S.H. Never Events are medical errors that are believed to be preventable with appropriate measures. We surveyed all English acute NHS trusts to determine the number of surgical Never Events and surgical caseload for 2011–2014. There were 742 surgically related Never Events in three years, with no change in the number annually. The risk of a surgical Never Event was 1 in 16 423 operations (95% CI 1 in 15 283 to 1 in 17 648) or 1 Never Event per 12.9 operating theatres per year (95% CI 1 in 12.1 to 1 in 13.9). The risk of severe harm due to a Never Event was approximately 1 in 238 939 operations. There was no meaningful association between number of Never Events and other safety indicators. Surgical Never Events are undoubtedly important to individual patients, but they are not a useful metric to judge quality of care. Wiley 2015-12-10 Article PeerReviewed Moppett, I.K. and Moppett, S.H. (2015) Surgical caseload and the risk of surgical Never Events in England. Anaesthesia, 71 (1). pp. 17-30. ISSN 0003-2409 http://onlinelibrary.wiley.com/doi/10.1111/anae.13290/abstract doi:10.1111/anae.13290 doi:10.1111/anae.13290
spellingShingle Moppett, I.K.
Moppett, S.H.
Surgical caseload and the risk of surgical Never Events in England
title Surgical caseload and the risk of surgical Never Events in England
title_full Surgical caseload and the risk of surgical Never Events in England
title_fullStr Surgical caseload and the risk of surgical Never Events in England
title_full_unstemmed Surgical caseload and the risk of surgical Never Events in England
title_short Surgical caseload and the risk of surgical Never Events in England
title_sort surgical caseload and the risk of surgical never events in england
url https://eprints.nottingham.ac.uk/42804/
https://eprints.nottingham.ac.uk/42804/
https://eprints.nottingham.ac.uk/42804/