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never event

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  • MaryW commented on the word never event

    Had my toes been amputated, I would have joined the ranks of those who have received wrong site, wrong limb, wrong organ, and other unnecessary surgeries known as "never events," because the medical profession admits that they never should have happened. Error specialists, and there are many, might say that I had a "near miss," something health care is just beginning to study and learn from following the example of the aviation industry.

    James B. Lieber, Killer Care: How Medical Error Became America's Third Largest Cause of Death, and What Can Be Done About It (New York: OR Books, 2015), Introduction

    March 1, 2016