Sentinel events

» Reportable sentinel events
» Investigation of sentinel events
» Reporting requirements
» Annual sentinel event reports

Policies

• Sentinel Event Policy (Nov 2007) (PDF 251KB)
• OD 0104/08 - Sentinel Events to be reported to the Director, Office of Safety and Quality in Healthcare (circular)
• OP 2061/06 – Matters to be Reported to the Chief Psychiatrist (circular)

Forms

• Sentinel Event Notification Form (Word 151KB)
  Sentinel Event Notification Form (PDF 171KB)
• Sentinel Event Report (Word 251KB)
  Sentinel Event Report (PDF 200KB)

Notification of sentinel events

Notification of Sentinel Events can be made via:

Secure Fax: +61 8 9222 4014
Secure Email: sentinel.events@health.wa.gov.au

Sentinel event reporting

A sentinel event is a rare event that leads to catastrophic patient outcomes.

Sentinel event reporting was implemented in Western Australia in 2003. This reporting mechanism targets the most serious adverse events and ensures priority is given to thorough investigations and identification and sharing of prevention strategies where they exist. The mandatory nature of this system supports tracking of trends over time and some evaluation of interventions.

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File Formats

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