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Table 1 Surgical "never events" according to the National Quality Forum (NQF) consensus report (2006)

From: Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis

 

Serious reportable surgical events "never events"

1

Surgery performed on wrong surgical site

2

Surgery performed on wrong patient

3

Wrong surgical procedure

4

Unintentionally retained foreign object in a surgical patient

5

Intraoperative or immediate postoperative death in a ASA class 1 patient