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Sentinel event program - Annual report 2009-10

Summary

The Sentinel event program Annual report 2009-10 provides a summary of the program and outlines identified system issues. It also provides examples of sentinel events that have occurred and the risk reduction action plans health services have developed to support changes to the system to ensure quality, safe patient care.

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Owner:
Quality and Safety Unit,
Quality, Safety and Patient Experience,
Hospital and Health Service Performance,
Department of Health
50 Lonsdale Street,
Melbourne, Victoria, 3000
Telephone: (61 3) 9096 9000