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31 FINANCE CMO / CARE DELIVERY 13 statistics on never events By Megan Knowles T he Joint Commission implemented a sentinel event policy in 1996 to help hospitals improve patient safety and learn from adverse events, including unexpected deaths and serious physi- ological or psychological harm to patients. e organization defines a sentinel event as a patient safety event that results in any of the following outcomes: death, permanent harm, se- vere temporary harm or intervention required to sustain life. e Joint Commission requires hospitals to conduct a root-cause analysis aer a sentinel event occurs. e nonprofit organization also considers the National Quality Fo- rum's "never events" to be sentinel events, according to the Agency for Healthcare Research and Quality. NQF classifies the following circumstances as never events: surgical events, product or device events, patient protection events, care man- agement events, environmental events, radiologic events and criminal events. Frequency of never events Although most never events are rare, these safety incidents can have significant effects on patients and hospitals. Here are three statistics on the frequency of never events, compiled by the Agency for Healthcare Research and Quality: 1. More than 4,000 surgical never events occur each year in the U.S., according to a 2013 study. 2. e average hospital may experience a wrong-site surgery case once every 5 to 10 years, according to a 2006 study. 3. e majority — 71 percent — of never events reported to e Joint Commission between 1995 and 2015 were fatal. Most common never events In March 2018, e Joint Commission updated its sentinel event statis- tics for 2017. e organization reviewed 805 reports of sentinel events reported during the 2016-17 calendar year. Here are the 10 most frequently reported sentinel events for 2017, ac- cording to e Joint Commission: 1. Unintended retention of a foreign body — 116 reported 2. Fall — 114 3. Wrong-patient, wrong-site, wrong-procedure — 95 4. Suicide — 89 5. Delay in treatment — 66 6. Other unanticipated event, such as asphyxiation, burn, choking on food, drowning or being found unresponsive — 60 7. Criminal event — 37 8. Medication error — 32 9. Operative/postoperative complication — 19 10. Self-inflicted injury — 18 n Contact us today to get started! 888-416-2409 • bids@eSutures.com In only a few days, you can turn excess inventory into usable capital with our streamlined and simple process. For more information, or to begin the bid process, please call 888-416-2409 or email bids@eSutures.com. eSutures.com is interested in purchasing your in-date, short-dated and expired products in full selling units, open boxes and even individual, loose units. WE CAN PURCHASE: • Ethicon Suture • Ethicon Endosurgery • Covidien Suture • Covidien Endosurgery • Synthes • Arthrex • Bard • Gore • Masimo • Applied Medical and more! Sell Your Surgical Surplus to eSutures.com! Contact us today to get started! 888-416-2409 • bids@eSutures.com you can turn excess inventory into usable capital with our streamlined and simple process. For more information, or to begin the bid process, please call 888-416-2409 or email bids@eSutures.com. Ethicon Suture Ethicon Endosurgery Covidien Suture Covidien Endosurgery Synthes Arthrex Masimo Applied Medical more!