Public BoD papers 26.5.22

1. Safe

1.2 - Serious Incidents and Never Events

Never Events – are defined are serious incidents that are wholly preventable The last Never Event occurred in January 2020 which was the only incident in the last 5 years.

Serious incidents There were 2 serious incidents declared in April W68653 – missed MSCC on CT scan W69060 – chemotherapy dosing

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