Stop at the Shop: Initiative from Chase Farm Hospital to mitigate wrong implant never events

Summary

This initiative at Chase Farm Hopsital, from the Royal Free NHS Foundation Trust, was started to mitigate wrong implant never events. Instead of just the one person going into the stock room to collect the implant and equipment, two people go and both check. This poster is a gentle reminder to check with a colleague before sending to theatre.

What do other Trusts do to mitigate this type of never event?

Content