Sentinel Event Follow up

Revised January 2018

Purpose:

To ensure quality of service for our clients and staff, LOFT Community Services ensures that sentinel events involving clients and staff are addressed quickly, consistently and comprehensively.

Definition:

Sentinel events are any unanticipated event in a care setting resulting in death or serious physical or psychological injury to a client or staff.

 Policy

All incidents are reported as per LOFT’s critical incident reporting policy.

In the case that an incident is of a very serious, or sentinel nature, additional procedures apply.

Short term procedures

  • Senior staff are notified immediately by email and phone
  • Staff and clients are offered critical incident debriefing resources as required
  • All notes pertaining to the situation are reviewed and investigated by the program director and reviewed with the senior manager (within 2 days)
  • Any recommendations that come from that investigation are reviewed and implemented  (within 5 days)

Longer term

  • Senior management team presents any sentinel events monthly including the investigation findings and recommendations
  • All incidents, including sentinel events are addressed as part of an annual accreditation review.  Recommendations are reviewed and implemented as appropriate.

Procedures

please see program manual