Other "Never Events"
In addition to inpatient falls, CMS has identified the following "never events":
Retained foreign object after surgery
Catheter-associated urinary tract infection
Deep-vein thrombosis/pulmonary embolism related to hip and knee replacements
Surgical site infections
Stage III and IV pressure ulcers
Injuries related to traumatic events, such as electric shock and burns
Manifestations of poor glycemic control, including hypoglycemic coma
Surgical errors, including wrong procedure, wrong body part, or wrong patient
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Cite this: Brian W. Whitelaw. Your Malpractice Risk When Your Hospitalized Patient Has a "Never Event" - Medscape - Feb 09, 2010.