Sentinel events are a subset of adverse patient safety events that are wholly preventable and result in serious harm to, or the death of, a patient. The purpose of sentinel event reporting is to ensure public accountability and transparency and drive national improvements in patient safety.
This document aims to inform healthcare professionals and system funders or regulators about how the national sentinel events list has changed in the second edition, and the process that was undertaken to review and revise the list.
This report presents the first national epidemiological snapshot of sepsis and its impact on Australians and was prepared by Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia .
A report reviewing the implementation of the Australian Open Disclosure Framework identifying perceived implementation gaps, areas for improvement, and suggested strategies at a national, state and territory, and health service organisation level.