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This report provides the Victorian community and the health sector with information on the most serious adverse events reported in Victorian public and private hospitals, and ambulance services.

Sentinel events are the most serious adverse events that result in a patient dying or being seriously harmed. Read more about the sentinel events program

This report includes an overview of the sentinel events notified, recommendations for improvement arising from root cause analysis reviews and case studies from Victorian health services.

Safer Care Victoria publishes this information every year to help Victorians understand what sentinel events have occurred, what has been learned and how we have improved as a result.

Page last updated: 13 Nov 2020

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