Adherence to Never Events Policy
The Leapfrog Group asks hospitals to agree to all of the following if a never event occurs within their facility:
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We will apologize to the patient and/or family affected by the never event
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We will report the event to at least one of the following agencies within 10 days of becoming aware that the never event has occurred:
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Joint Commission, as part of its Sentinel Events policy*
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State reporting program for medical errors
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Patient Safety Organization (e.g. Maryland Patient Safety Center)
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We agree to perform a root cause analysis, consistent with instructions from the chosen reporting agency
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We will waive all costs directly related to a serious reportable adverse event
*Reporting of Sentinel Events to the Joint Commission is voluntary for its accredited hospitals. |
