BHA3002 Columbia Southern Preventing Never Events Journal Entry
You are the performance improvement (PI) director for a busy acute-care hospital in New York. A very important aspect of your job is preventing never events in your facility. Give two examples of never events, and explain how you would respond to such events taking place in your hospital. Also, as PI director, how would you work to prevent never events in your organization moving forward?
Your journal entry must be at least 200 words. No references or citations are necessary.
ANSWER SUMMARY
Two examples of never events are:
- Surgical site infections following a procedure in which active surgical procedures are performed.
- Performing the wrong procedure or surgery on a patient.
If such events were to take place in my hospital, I would immediately initiate an investigation to determine the root cause of the event and take appropriate action to prevent it from happening again in the future. This could include retraining staff, revising protocols, or implementing new technology. I would also inform the patient and their family about the event and provide them with any necessary care or support.
To prevent never events from happening in my organization moving forward, I would:
- Implement a robust reporting system to identify and track events and near-misses in real-time, including regular analysis of data to identify trends and patterns.
- Develop and implement evidence-based protocols and guidelines for preventing common never events.
- Provide ongoing training and education for staff to keep them informed of current best practices and the latest research.
- Partner with other organizations and industry experts to share information and learn from others’ experiences.
- Continuously monitor and review our systems and processes to identify areas for improvement and make any necessary changes.
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