2 or 3 consecutive spills on the ice, right after thinking, "I've *got* to stop breaking up this snow with my boot." 🥾❄️

At least it's sunny today, and the babies are eatin' good. 🌤️🌿

Also, thank goodness for this rump. It could've been BAD. 🍑☠️

#Snow #Klutz #Falls #NeverEvents #EDRecovery

While we're at it, I shall yet again *DEMAND* that Joint Commission in USA designate nosocomial SARS-CoV-2 infections as #NeverEvents!

#CovidIsNotOver

psnet.ahrq.gov/primer/never...

Identifying a list of healthcare ‘never events’ to effect system change: a systematic review and narrative synthesis Never events (NEs) are patient safety incidents that are preventable and so serious they should never happen. To reduce NEs, several frameworks have been introduced over the past two decades; however,...

USA Joint Commission (not to be confused with environmental "International Joint Commission" here on BlueSky *SIGH*)

needs to FINALLY truly prioritize patient safety in healthcare facilities

by declaring nosocomial SARS-CoV-2 infections #NeverEvents !!!

pmc.ncbi.nlm.nih.gov/articles/PMC...

Cuando el cirujano se equivoca de órgano: un fallo más frecuente de lo que se creía Errores médicos como operar el riñón o la rodilla contraria son el cuarto problema evitable más significativo en la sanidad y los expertos proponen implantar protocolos para evitar que sucedan

"Happens more often than you would believe": And not just a Spain thing😳!
Hospitals there introducing new operating-room protocols to combat #NeverEvents = shocking errors (e.g. taking out wrong organ) but are also concerned at high freq/low concern found in US hospitals elpais.com/salud-y-b...

Never Events: The Big Debate Blog giving an overview of a webinar discussing proposed changes to the NHS England Never Events framework

(1/3) Earlier this year the National NatSSIPs Network hosted a webinar to discuss the NHS England consultation on the Never Events framework. This blog gives an overview of the discussion at this webinar, which had over 200 participants pslhub.org/learn/patien... #patientsafety #neverevents