{"id":242,"date":"2012-02-07T16:17:01","date_gmt":"2012-02-07T16:17:01","guid":{"rendered":"http:\/\/helpmeinvestigate.com\/health\/?p=242"},"modified":"2021-10-22T07:05:11","modified_gmt":"2021-10-22T07:05:11","slug":"data-investigating-never-events-easily-avoidable-medical-mistakes","status":"publish","type":"post","link":"http:\/\/helpmeinvestigate.com\/health\/2012\/02\/07\/data-investigating-never-events-easily-avoidable-medical-mistakes\/","title":{"rendered":"Data: investigating &#8220;Never events&#8221; (easily avoidable medical mistakes)"},"content":{"rendered":"<p>Here&#8217;s an example of where a little knowledge of jargon can give you a useful lead in finding data.<\/p>\n<p>The Eastbourne Herald <a href=\"http:\/\/www.eastbourneherald.co.uk\/news\/health\/information_request_reveals_serious_errors_of_nhs_staff_1_3483896\">report<\/a> on an FOI-led investigation they have done into &#8220;easily avoidable mistakes, known in the health service as Never Events&#8221;:<\/p>\n<blockquote><p>&#8220;BUNGLING NHS staff removed incorrect teeth and carried out a biopsy on the wrong part of a patient\u2019s body as part of a catalogue of errors in 2010 and 2011.<\/p>\n<p>&#8220;&#8230;the Herald FOI found there were seven such incidents between October 2010 and November 2011.<\/p>\n<p>&#8220;They included wrong hip surgery, a piece of medical equipment known as a protoscope left inside a patient\u2019s body and a failure to remove a throat pack following dental surgery. There was also a biopsy on the wrong part of someone\u2019s body and a guidewire left in a patient after staff fitted a central venus pressure line.&#8221;<\/p><\/blockquote>\n<p>A quick <a href=\"http:\/\/www.google.co.uk\/search?rlz=1C1GPCK_enGB454GB455&amp;sourceid=chrome&amp;ie=UTF-8&amp;q=%22never+events%22#sclient=psy-ab&amp;hl=en&amp;rlz=1C1GPCK_enGB454GB455&amp;source=hp&amp;q=%22never+events%22+filetype:xls+site%3Anhs.uk&amp;pbx=1&amp;oq=%22never+events%22+filetype:xls+site%3Anhs.uk&amp;aq=f&amp;aqi=&amp;aql=&amp;gs_sm=e&amp;gs_upl=5968l10315l1l10570l12l12l0l0l0l0l67l421l12l12l0&amp;bav=on.2,or.r_gc.r_pw.r_cp.,cf.osb&amp;fp=cee598fc631c5c56&amp;biw=1280&amp;bih=899\">advanced search for &#8220;Never events&#8221; filetype:xls site:nhs.uk<\/a> brings up a number of spreadsheets with data you can access without an FOI.<\/p>\n<p><em><strong>Can you do anything with it?<\/strong><\/em><\/p>\n<p>Tip: try changing site:nhs.uk to your local NHS websites, or try <a href=\"http:\/\/www.google.co.uk\/search?rlz=1C1GPCK_enGB454GB455&amp;sourceid=chrome&amp;ie=UTF-8&amp;q=%22never+events%22#sclient=psy-ab&amp;hl=en&amp;rlz=1C1GPCK_enGB454GB455&amp;source=hp&amp;q=%22never+events%22+filetype:pdf+site%3Anhs.uk&amp;pbx=1&amp;oq=%22never+events%22+filetype:pdf+site%3Anhs.uk&amp;aq=f&amp;aqi=&amp;aql=&amp;gs_sm=e&amp;gs_upl=991969l992660l2l992778l6l6l0l0l0l1l107l263l5.1l6l0&amp;bav=on.2,or.r_gc.r_pw.r_cp.,cf.osb&amp;fp=cee598fc631c5c56&amp;biw=1280&amp;bih=899\">changing filetype:xls to filetype:pdf<\/a> for reports.<\/p>\n<div class=\"tweetthis\" style=\"text-align:left;\"><p> <a target=\"_blank\" rel=\"nofollow\" class=\"tt\" href=\"http:\/\/twitter.com\/intent\/tweet?text=Data%3A+investigating+%E2%80%9CNever+events%E2%80%9D+%28easily+avoidable+medical+mistakes%29+http%3A%2F%2Fhelpmeinvestigate.com%2Fhealth%2F%3Fp%3D242\" title=\"Post to Twitter\"><img class=\"nothumb\" src=\"http:\/\/helpmeinvestigate.com\/health\/wp-content\/plugins\/tweet-this\/icons\/en\/twitter\/tt-twitter.png\" alt=\"Post to Twitter\" \/><\/a> <a target=\"_blank\" rel=\"nofollow\" class=\"tt\" href=\"http:\/\/twitter.com\/intent\/tweet?text=Data%3A+investigating+%E2%80%9CNever+events%E2%80%9D+%28easily+avoidable+medical+mistakes%29+http%3A%2F%2Fhelpmeinvestigate.com%2Fhealth%2F%3Fp%3D242\" title=\"Post to Twitter\">Tweet This Post<\/a><\/p><\/div>","protected":false},"excerpt":{"rendered":"<p>Here&#8217;s an example of where a little knowledge of jargon can give you a useful lead in finding data. The Eastbourne Herald report on an FOI-led investigation they have done into &#8220;easily avoidable mistakes, known in the health service as &hellip; <a href=\"http:\/\/helpmeinvestigate.com\/health\/2012\/02\/07\/data-investigating-never-events-easily-avoidable-medical-mistakes\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6],"tags":[150,149],"_links":{"self":[{"href":"http:\/\/helpmeinvestigate.com\/health\/wp-json\/wp\/v2\/posts\/242"}],"collection":[{"href":"http:\/\/helpmeinvestigate.com\/health\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/helpmeinvestigate.com\/health\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/helpmeinvestigate.com\/health\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/helpmeinvestigate.com\/health\/wp-json\/wp\/v2\/comments?post=242"}],"version-history":[{"count":2,"href":"http:\/\/helpmeinvestigate.com\/health\/wp-json\/wp\/v2\/posts\/242\/revisions"}],"predecessor-version":[{"id":981,"href":"http:\/\/helpmeinvestigate.com\/health\/wp-json\/wp\/v2\/posts\/242\/revisions\/981"}],"wp:attachment":[{"href":"http:\/\/helpmeinvestigate.com\/health\/wp-json\/wp\/v2\/media?parent=242"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/helpmeinvestigate.com\/health\/wp-json\/wp\/v2\/categories?post=242"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/helpmeinvestigate.com\/health\/wp-json\/wp\/v2\/tags?post=242"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}