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Archives[HD] A%/Never Event 31/05/2016A Never Event > http://bit.ly/1XadM2N A Never Event 674da32071 Source: Sentinel Event Statistics. A 2013 study estimated that more than 4000 surgical never events occur yearly in the United States. doi: 10.1056/NEJMp0900963. A goal of quality improvement measures should be to institute a reduction of "never events" to zero. Algie CM, Mahar RK, Wasiak J, Batty L, Gruen RL, Mahar PD. We wish to emphasize and discuss some examples related to the controversy related to the preventability of some of the listed conditions:Figure 1Comparison of "never events", as defined by the NQF ("serious reportable events") versus CMS ("non-reimbursable serious hospital-acquired conditions").(1) Prevention of fallsA recent editorial in the New England Journal of Medicine argues that the inclusion of "falls" on both lists is misguided[8]. Retrieved 19 October 2010. 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