This is the “never” of all “never” events. Never events are classified as those medical errors that should never, under any circumstances, occur. Yet, 63-year-old Charles Blevins had to have another knee replacement surgery because of a “never” event that involved surgically unsterile medical equipment. Charles Blevins, 63, underwent outpatient arthroscopic knee surgery. Four days after the surgery, Blevins went to a hospital emergency room complaining of fever and a hot and swollen knee. He was diagnosed as having pseudomonas infection and required hospitalization for one month; during that time he received IV antibiotics. The infection, however, destroyed Blevins’s right knee joint, which necessitated a total knee replacement and required revision about a year later.
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