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Updated: May 30, 2026
06:05
The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
Policy update: never events
Sir Bruce Keogh1, Dame Christine Beasley
1Department of Health.
Nursing Times
|August 13, 2011
Summary
New never events, serious patient safety incidents, were introduced to the NHS in England in April 2011. Nurses can prevent these events by understanding the guidance and reporting mechanisms.
Area of Science:
- Patient Safety
- Healthcare Quality Improvement
- Medical Error Prevention
Background:
- The Department of Health introduced new never events to the NHS in England starting April 2011.
- Never events are serious, preventable patient safety incidents that should not occur if the correct clinical procedures are followed.
Purpose of the Study:
- To enhance nurses' understanding of never events.
- To provide guidance on preventing never events through improved knowledge of rationale and reporting.
- To support nurses in their role in patient safety.
Main Methods:
- Review of guidance and reporting mechanisms for never events.
- Educational information for nursing staff.
- Focus on understanding the rationale behind preventative measures.
Main Results:
- Nurses can improve prevention of never events.
- Enhanced understanding of guidance leads to better adherence.
- Effective reporting mechanisms are crucial for learning and improvement.
Conclusions:
- Nurses play a vital role in preventing never events.
- Understanding the 'why' behind guidance is key to effective prevention.
- Robust reporting systems are essential for a culture of safety.
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