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Kenneth, David - perhaps 100% is considered unattainable because there are some situations where a harm could occur regardless of staff efforts? If a patient at risk of falling insists on using the toilet or shower on their own, or if a patient at risk of a pressure ulcer refuses to mobilise, harm can occur regardless of how prepared and vigilant the staff may be.

In contrast, the list of Never Events do have a 100% avoidance target. With the possible exception of escape from a secure MH unit, all are entirely dependent on staff.

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