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London Study Day - Safety Matters! Lessons learned from perioperative “Never Events” - SOLD OUT

30 November 2013, 09:00 - 16:40

Safety Matters! Lessons learned from perioperative “Never Events”

Venue details

Heart Hospital
University College London Hospitals NHS Foundation Trust
Westmoreland Street

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WAITING LIST ONLY Please contact Megan Sisley on 01423 882951 to be added to the list.


Never Events are serious, largely preventable patient safety incidents that should not occur if the available preventative measures have been implemented. (NLRS / NPSA 2013). The list of Never Events that can be linked to Perioperative setting are Wrong Site Surgery, wrong implant / prosthesis, retained foreign objects post operation, misidentification of patients, to name a few (DOH 2013). Patient safety within the perioperative environment is paramount since this field is a critical area. Even with the implementation of preventative measures, avoidable harm still occurs. We are continuing to develop safety nets based on lessons learned from serious adverse incidents.

• Know how a “never event” is defined and investigated • Understand the Policy Framework of Never Events for use in the NHS. • Identify current list of Never Events 2012/2013 DoH • Be aware of Never Events that could occur in your area of clinical practice, • Awareness of the causes of perioperative “Never Events” • Identify possible preventative actions after a Never Events.

This workshop will enable participants to discuss issues identified surrounding avoidable harm and share lessons learned from a Never Events within the perioperative environment.

Download programme.

Additional Information

AfPP students please register by email or calling Megan Sisley on 01423 881300. The AfPP student fee is £10.00.

Contact details

Contact:Megan Sisley - 01423 881300


Have you ever experienced a fire in theatre that was related to the use of diathermy, skin prep or other pharmaceutical product?

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