September 18, 2013 by Kasey Haas, Guest Blogger
In 2001, the National Quality Forum labeled kernicterus (KI)– a disability caused by untreated newborn jaundice and characterized by motor and hearing impairments – a “Never Event”. Alongside events such as leaving sponges and tools inside surgery patients, KI was classified as an event that is so easy to avert, that it should absolutelynever occur. Yet, even in the United States, we have failed to eradicate KI.
Why does it persist? …Read more here