About the report
Sentinel events are the most serious adverse patient safety events in our healthcare system. And it’s important that we all learn from them.
That’s why we release this report every year – to share what we have learnt and to help health services prevent similar events.
Between July 2022 and June 2023:
- 245 sentinel events were reported to us
- 89 per cent of sentinel event reports included input from the affected consumer or their family member
- 1159 recommendations for improvement were developed from the review of sentinel events.
Read our report for more insights, recommendations and examples of health services leading the way in preventing patient harm.
What’s new
This year, we focused on three sentinel event themes:
- paediatrics
- medication safety
- perioperative.