A 'never event' is a serious, preventable mistake made by healthcare staff that puts the patient at serious risk of harm or death.
To be a 'never event', an incident must fulfill the following criteria:
- The incident has the clear potential for, or has caused severe harm or death
- There is evidence of occurrence in the past (i.e. it is a known source of risk)
- There is existing guidance to prevent the event
- The event is largely preventable if the guidance is implemented
Announced inspectors at Derriford Hospital in Plymouth discovered eight 'never events' during their two week visit.
- Seven of the incidents took place in theatre
- Four of the incidents included wrong site surgery: i.e surgeons operated on the wrong part of a patient's body
More top news
ITV News spent the day at the Royal Berkshire Hospital in Reading looking at the lengths it is going to prepare for the winter ahead.
Endris Mohammed must serve a minimum of 33 years after killing his two children with a petrol-soaked cloth before trying to kill his wife.
Three people who had been arrested on suspicion of murder have been released without any further action.