Summary
This literature review in The Operating Theatre Journal examines why the decision was made not to class surgical fires as a 'Never Event', even though research has identified them as a preventable hazard. The author also examines steps that could be taken to further reduce the risk of surgical fires in the NHS and other health systems.
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Surgical fires: Why are they not classed as Never Events? (August 2022)
https://www.paperturn-view.com/uk/otjonline/the-operating-theatre-journal-3?pid=MjY265065&p=23
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