How did Leapfrog elevate Never Events to a national priority?
A Never Event is a medical error that should never happen, such as an object left inside a patient or the transfer of a wrong type of blood. Leapfrog utilizes the National Quality Forum's list of serious reportable events in asking hospitals to adopt a Never Events policy.
Leapfrog's Never Events policy asks hospital to commit to four basic acts if a Never Event does occur:
- apologize to the patient and family,
- waive all costs related to the event and follow-up care,
- report the event to an external agency,
- conduct a root-cause analysis of how and why the event occurred.
The hospital must also make a copy of this policy available to patients. All hospitals should abide by these basic pillars of respect in treating those affected by a Never Event. It is publicly reported as Never Events Management on Leapfrog's Hospital Ratings Results page.