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As a consequence, there is an endless discussion between hospitalsand the healthcare inspectorate as to which incidents are classified as SE and should therefore be reported. Another consequenceis that our national incident reporting system cannot provide the inspectorate with a representative view of clinical safetyissues, or a means to measure safety Box 1A sentinel event (Dutch: calamiteit) is defined in the 1996 Healthcare Organisations Quality Act as an unintended and unexpectedevent, related to the quality of care and having caused death or serious harm to the patient. All healthcare organisationsare mandated to report sentinel events to the Healthcare Inspectorate within 3days after discovery.Standards for corrective actions change over timeJust as the standards for what is defined as incident shift, so do the standards for corrective For example, Behret al7 conducted research into three healthcare incidents that attracted significant public attention.

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