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Commentary

Surgical 'never events': how common are adverse occurrences?

West JC. Surgical ‘never events’: How common are adverse occurrences? Journal of Healthcare Risk Management. 2009;26(1). doi:10.1002/jhrm.5600260105.

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July 26, 2010
West JC. Journal of Healthcare Risk Management. 2009;26(1).
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The author compares surgical event data from the first Minnesota state report on medical error with published research on similar incidents. He concludes that, because adverse events occur infrequently in individual institutions, large-scale databases are needed to aggregate data for study.

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West JC. Surgical ‘never events’: How common are adverse occurrences? Journal of Healthcare Risk Management. 2009;26(1). doi:10.1002/jhrm.5600260105.