Abstract Introduction Non‐routine events (NREs) are atypical or unusual occurrences in a
pre‐defined process. Although some NREs in high‐risk clinical settings have no adverse …

Background Never events (NEs) are patient safety incidents that are preventable and so
serious they should never happen. To reduce NEs, several frameworks have been …

Introduction A never event is the most egregious of patient safety incidents. It refers to events
that should theoretically never happen, such amputating the wrong limb. The term “never …

Background Never events (NEs) are serious preventable patient safety incidents and are a
component of formal quality and safety improvement (Q&SI) policies in the United Kingdom …

Background A nonroutine event is any aspect of clinical care perceived by clinicians or
trained observers as a deviation from optimal care based on the context of the clinical …

Objectives A nonroutine event (NRE) is defined as any event that deviates from ideal clinical
care for a given patient in a specific clinical situation. We sought to compare anesthesia …

Background In contrast to other safety critical industries, well-developed systems to monitor
safety within the healthcare system remain limited. Retrospective record review is one way …

In September 2015, Health Quality Ontario (HQO) and the Canadian Patient Safety Institute
(CPSI), with an action team that brought together quality councils and committees along with …

Objective This study aimed to examine the nature and causes of unintended events (UEs) at
internal medicine departments (IMD). Methods An observational study was conducted at 10 …

Objective Nonroutine events (NREs, ie, deviations from optimal care) can identify care
process deficiencies and safety risks. Nonroutine events reported by clinicians have been …