NAHQ CPHQ Practice Exam

Which of the following is an example of a "never event" or sentinel event?

1. Fever of 101.2 °F after a blood transfusion

2. Missed dose of an antibiotic

3. Patient fall that results in a bruised tailbone

4. Patient suicide in the psychiatric ward

The correct answer is: Fever of 101.2 °F after a blood transfusion

In healthcare, a "never event" refers to a serious medical error or patient safety incident that should never occur. One of the examples of a "never event" is the occurrence of an adverse reaction to a blood transfusion, such as a fever of 101.2 °F. This is considered a serious and preventable medical error that should not happen if proper procedures and protocols are followed. While missed doses of medications or patient falls resulting in injury are also significant incidents that should be avoided, they do not fall into the category of "never events" or sentinel events. A patient suicide in the psychiatric ward is another example of a "never event" due to the gravity of the situation and the necessity to ensure patient safety in mental health settings.