The National quality Forum (NQF) published in 2002 a report defining 27 "serious reportable events" in healthcare, with one additional event added in 2006, completing a total of 28 "never events", which are events that should not occur or are highly preventable. A goal in this era of measuring quality through outcomes, is to not have any of these so-called "never events". A very successful way to improve outcomes in healthcare is achieved by simulation.