George Gallagher discusses 'Never Events' in CSJ

mitigating the risk of a never event

George Gallagher discusses why Never Events keep happening, why they matter and what we can all do about them to improve outcomes in this month’s CSJ.

This detailed article addresses the reasons why mistakes happen, patient safety as the system currently stands and the risks of secondary complications. He details a way forward by changing the process, procedure and culture through education and training. It’s about practical steps to reduce human error. DoubleCHEK have introduced robust gateway checks that ‘engineer away’ some of the risk associated with Nasogastric tube feeding care.