This workbook promotes a positive modern approach to addressing and investigating sentinel events. It assists in developing an understanding of the root causes of a sentinel event and improving safety through effective reporting. The processes in the workbook promote a culture of safety, where discovering and reporting mistakes, errors and close calls is rewarded and not punished.
NZS HB 8152:2001
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Sentinel Events Workbook
Standards New Zealand , 09/24/2001
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