What is a sentinel event?

A sentinel event is defined as an unexpected occurrence that results in death or serious physical or psychological injury, or the risk thereof. This definition underscores the critical nature of such events in healthcare settings, serving as a significant indicator of systemic issues that require immediate attention and improvement.

When a sentinel event occurs, it typically highlights flaws in the healthcare system that can lead to adverse patient outcomes. Therefore, addressing these events is essential for enhancing the quality and safety of care. Organizations often use sentinel events as learning experiences to make necessary changes to policies, processes, or practices, aiming to prevent future occurrences.

In contrast, a planned healthcare procedure would not fall under the definition of a sentinel event, since it is expected and normally safe when performed correctly. Routine inspection processes are standard practices designed to ensure compliance with regulations and standards but do not involve unexpected outcomes. Similarly, a minor incident in healthcare doesn’t meet the severity threshold to be classified as a sentinel event, which focuses on serious outcomes that can significantly impact patient safety.