Reference 2020-587

REF:       2020-587      

Subject:   Never events and major incidents          

Request:

– Since January 2020, how many ‘never’ events have there been?

 

– What were the dates of these events?

 

– What are the details in terms of what happened, the outcome for the patient, and action taken as a result.

 

– Have any of the hospitals named above been in ‘Cryp Con 4’ status in the past 12 months. We understand this is the equivalent of a ‘major incident’.

 

– If so, when, for how long – and for what reason.

 

 

Response:

Since January 2020, how many ‘never’ events have there been? 1
What were the dates of these events? 20/01/2020
What are the details in terms of what happened, the outcome for the patient, and action taken as a result. Nerve block injected into patient’s middle finger instead of ring finger. The error was immediately recognised, the correct finger was blocked and the procedure completed without any further issue. Apologies were given to the patient. No harm was caused to the patient. A full investigation was carried out and an action plan was developed and completed as a result of the findings.
Have any of the hospitals named above been in ‘Cryp Con 4’ status in the past 12 months. We understand this is the equivalent of a ‘major incident’. No
If so, when, for how long – and for what reason. N/A