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A chance to reduce never-events in health care: STOP wrong-site nerve blocks
Wrong-site nerve blocks (WSNB) are considered as “never events” in health care, yet they continue to occur and pose a risk of serious consequences.1 WSNB can harm the patient, increase treatment costs and lead to a loss of trust in the health care system. Medico-legal claims arising from WSNB are indefensible, and typically settle as a malpractice damage.2
 Agency for Healthcare Research and Quality. Never Events. September 7, 2019. Accessed July 12, 2021. https://psnet.ahrq.gov/primer/never-events
 Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111.
 Regional Anesthesia UK (RAUK), Safe Anesthesia Liaison Group (SALG). Stop Before You Block. 2015. Accessed July 12, 2021. https://www.ra-uk.org/ index.php/ stop-before-you-block
 NHS England, Never Events Data Base 2018-2021; https://www.england.nhs.uk/patient-safety/never-events-data/
 Vandebergh V, Coll V, Keunen B. Prevention of Wrong-Side Nerve Blocks: Part 2. Anesthesiology News. 2021 Sep; 27-31
 N. Haslam, N. Bedforth, J. J. Pandit. ‘Prep, stop, block’: refreshing ‘stop before you block’ with new national guidance, 2022 Apr, Anesthesia, Volume77, Issue4, 372-375