Common use of Surgical Clause in Contracts

Surgical. Wrong site surgery Not used Not used Not used Not used Not used Wrong implant/prosthesis Not used Not used Not used Not used Not used Retained foreign object post- operation Not used Not used Not used Not used Not used Wrongly prepared >0 Review of reports submitted In accordance with Never Events Guidance, All All except high-risk injectable to NRLS/Serious Incidents recovery by the Responsible Commissioner of the Healthcare PT medication reports and monthly Service costs to that Commissioner of the procedure or Settings Quality Performance Report episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event Maladministration of potassium- containing solutions Not used Not used Not used Not used Not used Wrong route administration of chemotherapy Not used Not used Not used Not used Not used Wrong route >0 Review of reports submitted In accordance with Never Events Guidance, All All except administration of to NRLS/Serious Incidents recovery by the Responsible Commissioner of the Healthcare PT oral/enteral reports and monthly Service costs to that Commissioner of the procedure or Settings treatment Quality Performance Report episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event Intravenous administration of epidural medication >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All Healthcare Premises All except PT, Ph Maladministration of insulin >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All Healthcare Settings All except PT Overdose of midazolam during conscious sedation Not used Not used Not used Not used Not used Opioid overdose of an opioid-naïve Service User >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never All Healthcare Settings All except PT Event Inappropriate administration of daily oral methotrexate >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All Healthcare Settings All except PT Suicide using non- collapsible rails >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All mental health inpatient premises MH MHSS Escape of a transferred prisoner >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All medium and high secure mental health inpatient premises MH MHSS Falls from unrestricted windows >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges All Healthcare Premises All except AM, PT, Ph incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event Entrapment in bedrails >0 Review of reports submitted to/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All adult inpatient premises A MH MHSS Transfusion of ABO incompatible blood components Not used Not used Not used Not used Not used Transplantation of ABO incompatible organs as a result of error Not used Not used Not used Not used Not used Misplaced naso- or oro-gastric tubes >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All Healthcare Premises All except PT, Ph Wrong gas administered >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately All Healthcare Premises All except PT, Ph, CH established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event Failure to monitor and respond to oxygen saturation >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All Healthcare Premises All except PT Air embolism >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All Healthcare Premises All except PT Misidentification of Service Users >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All Healthcare Premises All Severe scalding of Service Users >0 Review of reports submitted to NRLS/Serious Incidents In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the All Healthcare All reports and monthly Service Quality Performance Report costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event Premises

Surgical. Wrong site surgery Not used Not used Not used Not used Not used Wrong implant/prosthesis Not used Not used Not used Not used Not used Retained foreign object post- operation Not used Not used Not used Not used Not used Wrongly prepared >0 Review of reports submitted In accordance with Never Events Guidance, All All except high-risk injectable to NRLS/Serious Incidents recovery by the Responsible Commissioner of the Healthcare PT medication reports and monthly Service costs to that Commissioner of the procedure or Settings Quality Performance Report episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event Not used Not used Not used Not used Not used Maladministration of potassium- containing solutions Not used Not used Not used Not used Not used Wrong route administration of chemotherapy Not used Not used Not used Not used Not used Wrong route >0 Review of reports submitted In accordance with Never Events Guidance, All All except administration of to NRLS/Serious Incidents recovery by the Responsible Commissioner of the Healthcare PT oral/enteral reports and monthly Service costs to that Commissioner of the procedure or Settings treatment Quality Performance Report episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event Not used Not used Not used Not used Not used Intravenous administration of epidural medication >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All Healthcare Premises All except PT, Ph Not used Not used Not used Not used Not used Maladministration of insulin >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All Healthcare Settings All except PT Not used Not used Not used Not used Not used Overdose of midazolam during conscious sedation Not used Not used Not used Not used Not used Opioid overdose of an opioid-naïve Service User >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never All Healthcare Settings All except PT Event Not used Not used Not used Not used Not used Inappropriate administration of daily oral methotrexate >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All Healthcare Settings All except PT Not used Not used Not used Not used Not used Suicide using non- collapsible rails >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All mental health inpatient premises MH MHSS Not used Not used Not used Not used Not used Escape of a transferred prisoner >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All medium and high secure mental health inpatient premises MH MHSS Not used Not used Not used Not used Not used Falls from unrestricted windows >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges All Healthcare Premises All except AM, PT, Ph incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event Not used Not used Not used Not used Not used Entrapment in bedrails >0 Review of reports submitted to/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All adult inpatient premises A MH MHSS Not used Not used Not used Not used Not used Transfusion of ABO incompatible blood components Not used Not used Not used Not used Not used Transplantation of ABO incompatible organs as a result of error Not used Not used Not used Not used Not used Misplaced naso- or oro-gastric tubes >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All Healthcare Premises All except PT, Ph Not used Not used Not used Not used Not used Wrong gas administered >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately All Healthcare Premises All except PT, Ph, CH established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event Not used Not used Not used Not used Not used Failure to monitor and respond to oxygen saturation >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All Healthcare Premises All except PT Not used Not used Not used Not used Not used Air embolism >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All Healthcare Premises All except PT Not used Not used Not used Not used Not used Misidentification of Service Users >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event All Healthcare Premises All Severe scalding of Service Users >0 Review of reports submitted to NRLS/Serious Incidents reports and monthly Service Quality Performance Report In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the All Healthcare All reports and monthly Service Quality Performance Report costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never Event PremisesAll Healthcare Premises All