NEAR MISS EVENT, ADVERSE EVENT & SENTINEL EVENT

NEAR MISS EVENT, ADVERSE EVENT & SENTINEL EVENT

AN UNEXPECTED INCIDENT RELATED TO SYSTEM OR PROCESS FAILURE WHICH

Could Have Caused Damage, But Didn’t	Caused Damage that was Not Serious / Lasting	Caused death / Major Enduring Lost of Function Lasting at least Two Weeks
NEAR MISS EVENT	ADVERSE EVENT	SENTINAL EVENT
Example:
Medication error causing no harm	Medication error causing minor allergy	Medication error causing death/severe complication
Short circuit detected, Fire prevented	Slip/Trip/Fall causing minor injuries	Wrong site/Wrong patient/Wrong surgery
Fungus in the IV bottle detected just in  time	Fall from bed causing minor injuries	Instruments/sponge left in the surgical site by mistake
Sudden equipment failure but no damage done	Thefts of patient’s/hospital properties	Unexpected operative/post operative death
		Physical assault/rape/molestation of a patient
		Fire causing death/damage/disruption of functioning