Sentinel/Serious Events

  • A sentinel/serious event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof.
  • Sentinel (defined by The Joint Commission) and serious events (defined by Florida statute) should be immediately reported to Risk Management, the department manager and/or Administrator On Duty (AOD). 
  • A root cause analysis is conducted for a sentinel event and/or a serious event that meets criteria
  • Risk reduction and action plans for process improvement are implemented based on the results of the analysis.

Sentinel and Serious Events