Sentinel events in Australian public hospitals 2004-05

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Safety and quality of health care no. 2

Sentinel events in public hospitals 2004-05 is the first joint publication of the Australian Commission for Safety and Quality in Health Care and the Australian Institute of Health and Welfare. The report presents data on the number and nature of sentinel events occurring in Australian hospitals over the period 1 July 2004 to 30 June 2005 and the factors that contributed to these serious adverse events. This is the first report of its kind to draw together data on sentinel events from all states and territories and paves the way for national reporting of health care safety and quality information to inform policy responses and initiatives.

Authored by AIHW & Commission for Safety and Quality in Health Care.

Published 11 July 2007; ISBN-13 978 1 74024 700 9; AIHW cat. no. HSE 51; 44pp.; $25.00


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Full publication (295KB PDF1

  • Preliminary material
    • Half title and verso pages
    • Title and verso pages
    • Foreword
    • Contents
    • Abbreviations
    • Acknowledgments
  • Sections
    1. Overview and introduction
    2. Reporting on sentinel events in Australia
    3. Methods
    4. Sentinel events reported in Australian public hospitals, 2004-05
    5. Discussion
  • End matter
    • Appendixes
      1. Comparison of contributing factor categories
      2. Sentinel event descriptions used by states and territories
    • Glossary
    • References
    • Tables
    • Figure

Notes and corrections

The current version of the publication is presented above. Previous versions of files that have been updated or corrected are presented below.

  1. The following amendments have been made. (17 July 2007)
    • Appendix 1 (page 28) has been amended to include 'Equipment' in the fourth row of the SA column.
    • Appendix 2 (pp. 29-31) has been amended to remove incorrect references to SA.