Preventing Perioperative ‘Never Events’

  • Patricia C. Seifert
  • Paula R. Graling
  • Juan A. Sanchez


The high-risk nature of certain adverse events resulting from medical error occurring during the perioperative period can result in such serious harm to patients that they are labeled “Never Events.” This chapter provides an overview of the many different types of surgical Never Events and offers preventive strategies.


Never events Misidentification errors Wrong patient Medication errors Pressure ulcers Positioning errors Surgical site infections Electrical injuries Retained surgical items Device failures Difficult airway Failed airway Air embolus Surgical specimen errors Inadvertent hypothermia 


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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Patricia C. Seifert
    • 1
  • Paula R. Graling
    • 2
  • Juan A. Sanchez
    • 3
  1. 1.Cardiac Surgery ConsultationFalls ChurchUSA
  2. 2.Department of SurgeryFalls ChurchUSA
  3. 3.Department of SurgeryAscension Saint Agnes Hospital, Armstrong Institute for Patient Safety & Quality, Johns Hopkins University School of Medicine,BaltimoreUSA

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