There are some errors that no doctor should ever make. Are you a victim of a never event?




Never Event Attorney Charleston, South Carolina


Doctors make mistakes. While some errors may be understandable, there are certain errors that no doctor should ever make.

These events have been referred to as “never” events. Recent studies show that a never event may occur as many as 80 times each week.

What is a Never Event?

A never event is a mistake without an excuse. According to the Agency for Healthcare and Research Quality, there are 29 errors defined as “never events.” They are grouped into different categories. They include:

  • Care management –  An error in administering medication or blood products administered in an unsafe manner that leads to serious injury or death. Care management events can include:
    • Harm to a mother or baby during labor or delivery in a low-risk pregnancy
    • Artificial insemination with the incorrect sperm or donor egg
    • The loss of a biological specimen or harm to a patient as a result of failing to provide follow-up care.
    • If a patient acquires stage 3 or 4 pressure ulcers (bed sores)
    • If a patient falls when in a healthcare setting.
  • ECG-machine-with-a-printout-Charleston-SC-never-events-attorney-Frank-Hartman Product/device – When a medical device is used in an incorrect manner or when a medical device is misused or a tainted medical device or drug is used and causes death.
  • Patient protection – When a care facility releases a patient who cannot care for himself to someone other than an authorized person,
    the disappearance of a patient that leads to disability or death or, the suicide or attempted suicide of a patient that occurs while the patient is being cared for in a healthcare facility.
  • Environmental – examples include: electrical shock, oxygen lines containing no gas or the incorrect gas, burn injuries, and the use of bed restraints that cause serious injury or death.
  • Radiological events – When a negligent person allows for the introduction of a metallic object during an MRI, causing death or serious bodily injury.
  • Surgical error – For example, when surgery is performed on an incorrect body part or the incorrect patient, the incorrect surgery is performed, or a foreign object such as a surgical sponge or medical device is left inside of a patient’s body.
  • Criminal events – Care provided by someone impersonating a health doctor, abduction of a patient, sexual abuse of a patient by a health doctor or physical assault of a patient in a healthcare setting.

These things should not ever occur in a healthcare setting and when they do, the doctor, or healthcare facility can be held legally liable for the consequences.

How Often Do Never Events Occur?

A recent study, based on data collected between 1990 and 2010, indicates around 80,000 never events have occurred in the U.S. during that time.

According to the study:

  • Patients underwent the incorrect procedure 20 times a week.
  • The incorrect body part was operated on 20 times a week.
  • Surgeons left foreign objects in a patient 49 times a week.

Not surprisingly, surgeons that had a history of malpractice made it more likely that one of these events would occur.

Medical Advances and Imperfections

Having to undergo a medical procedure is never without a certain amount of trepidation; medical procedures are usually linked to health scares, and those are stressful enough. Modern medicine continues to advance its methods and capabilities, and our healthcare system is the better for it. We are living healthier and more active lives because of modern medical accomplishments. 

Heart-monitor-The-Hartman-Law-Firm-LLC-Charleston-SC-never-events-medical-injury-attorneyThe medical profession, however, is comprised of medical professionals – people who make mistakes just like everyone else. Some of the mistakes medical professionals make are more understandable than others, and some should simply never happen under any circumstances. 

The term never event was first used by the National Quality Forum (NQF) in 2001 to refer to medical errors of such shocking nature that they simply should have never happened. There is no possibility for reasonable or understandable explanation. The term has been expanded over the years to encompass adverse medical events that share common traits:

  • They are unambiguous (able to be clearly identified and measured).
  • They are serious, resulting in significant disability or death.
  • They are usually preventable.

Never Events and Sentinel Events

Although true never-events are relatively uncommon, they are so devastating in effect that they must be treated with the utmost seriousness. Often never events are found to be indicative of a fundamental safety issue within the medical organization where they’ve occurred. 

Joint-Commission-National-Quality-Approval-Seal-The-Hartman-Law-Firm-LLC-joint-commission-sentinel-event-attorney-Charleston-SC Since 1995, in fact, the Joint Commission – an independent and nationally recognized not-for-profit hospital-accrediting organization – has recommended that hospitals report sentinel events. These events are identified as an unexpected occurrence involving death or serious physiological or psychological injury, or the risk thereof. The Joint Commission categorizes the NQF’s never events as sentinel events.

Recommendations and Mandates

In the event of a sentinel event, the Joint Commission mandates that a root cause analysis (RCA) of the event be performed to cull out any contributing factors that are systemic to the healthcare facility and to highlight exactly where improvements must be made. The Leapfrog Group, which is a national nonprofit organization that attempts to drive the quality and safety of American health care, goes a step farther by recommending that healthcare organizations employ a checklist of guidelines whenever a never event occurs:

  • Sincerely apologize to the affected patient and/or family;
  • Report the event to at least one of the pertinent reporting agencies, including the Joint Commission;
  • Perform an RCA that is consistent with the chosen reporting company;
  • Waive all related costs;
  • Make never event policies available to patients and payers (when requested);
  • Advise the patient and/or family of the adverse event within 60 minutes of its discovery;
  • Have an accessible protocol in place for providing caregiver-support;
  • Meet with the patient and/or family (if they are willing) to gather evidence for the RCA, to review the RCA’s conclusions, and to share the plan for future action regarding the prevention of further never events; and
  • Perform an annual review to ensure continued adherence to each of these elements for every never event that’s occurred in the healthcare facility.

Only by following an aggressive policy such as the one laid out by Leapfrog, can healthcare institutes learn from their mistakes and curtail them. This includes the public disclosure of never events and the implementation of an ongoing, systematic, self-checking, and thorough plan to eradicate never events.

Patient Rights


As a patient, you have the right to be involved at every level of your medical care. Talk to your doctor and medical team; ask questions; voice your concerns; and when feasible, get a second opinion if you’re not comfortable with the responses you receive. Dealing with medical procedures is stressful in the best of times; bringing a friend or family member to act as your advocate can help you get a broader picture of your medical team and of the medical procedure that they’re recommending. There are certain enquiries that should always be made before embarking on an invasive medical procedure:

  • Does the team take recommended time outs during procedures to make sure everything is going according to plan;
  • Who will oversee the time outs (don’t accept double covering – when a medical professional is responsible for more than one procedure at a time);
  • Is there a marking system in place to identify that the surgery site is correct and that the team is indeed working on the right patient?

These are all important questions, and if something seems wrong to you once you’ve gone over these points with your medical team, something may be wrong. Don’t undergo any medical procedure with medical professionals who can’t or won’t adequately address each of these important safety issues. It’s your right to advocate for your own safety. Don’t be intimidated: speak up!

Prosecuting Never Events

If you or someone you care about has been victimized by a never event, you’re naturally traumatized and probably incapacitated. No one should have to go through what you’re going through.

Unfortunately, however, many medical facilities circle the wagons at the first glimmer of such an event and can make obtaining justice even more difficult. It’s not right, but it does happen.

Your Never Event Case

Never-Event-lawsuit-on-lawyer-desk-Frank-Hartman-is-a-never-event-medical-injury-lawyer-in-Charleston-SC If you’ve suffered a medical never event, you’ve been wronged by significant negligence; you deserve compensation. Your never event claim is crucial to your future and is far too important to be left to chance or to the whims of your medical provider or insurer.

Contact a skilled Charleston, South Carolina legal firm with expertise in the intricacies of never event cases like yours as soon as you can. Your legal representation will exactingly piece together the evidence and the crucial circumstances surrounding your claim in aggressive support of your rights and your future.

Call The Hartman Law Firm, LLC today; we care about your never event case, and we can advise you through this difficult time.

What Do You Do If You Are the Victim of a Never-Event?

Hospital-beds-The-Hartman-Law-Firm-LLC-medical-malpractice-never-event-attorney-Charleston-SC If this happens to you or someone you love, you should speak with us immediately. You may very well have a good case. Your cooperation will be needed in order to make your case and justify any losses that you want to claim.

Some forms of payment that you can pursue include:

  • payment of medical costs
  • lost wages
  • any future reduction in earning potential
  • pain and suffering
  • emotional distress
  • wrongful death damages

An experienced medical malpractice lawyer can help you to gather the evidence that you need to get the compensation you deserve.

Our Charleston Medical Malpractice Lawyer Can Help You

At The Hartman Law Firm, LLC, we understand how you feel when you place your trust in a doctor and they make a mistake that hurts you forever. There is no excuse.  Call us, we can help.

Medical malpractice cases can be complex because of the technical nature of the claims. We have the knowledge, legal skills and compassion to represent you and seek compensation on your behalf. We work with clients throughout Charleston and South Carolina. Give us a call today or contact us online to schedule a free consultation about your case.

Never Events, Patient Safety Primer, Agency for Healthcare Research and Quality

Johns Hopkins Malpractice Study; Surgical ‘Never Events’ Occur At Least 4,000 Times Per Year, Johns Hopkins Medicine


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Frank offers a Free Case Evaluation and Consultation. He will visit with you at your convenience at your home or hospital bed to evaluate your matter. This is done on a case by case basis.

The Hartman Law Firm, LLC

6650 Rivers Ave, Suite 600
North Charleston, SC 29406
Phone: (843) 300-7600

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