| NCJ Number: |
247141  |
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| Title: |
Mending Justice - Sentinel Events in Criminal Justice |
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| Document: |
PDF (Full Report)|PDF (Medicine & Aviation Precursors)|PDF (Evaluating Field Receptivity) |
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| Date Published: |
September 2014 |
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| Annotation: |
This special report from the National Institute of Justice explores the potential of using a “sentinel event” review approach to learn from errors in, and make improvements to, the criminal justice system; included in this report is a message from the Attorney General and commentaries from highly respected researchers, practitioners, and stakeholders. |
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| Abstract: |
A common response to the question of “how should the criminal justice system respond to errors?” is to seek out “bad apples,” apportion blame, and conclude that the error has been dealt with once that individual is punished or policy is changed. However, errors in complex systems are rarely the result of a single act or event. In medicine, aviation, and other high-risk enterprises, serious errors are regarded as system errors or “organizational accidents.” Organizational accidents are potential “sentinel events,” incidents that could signal more complex system-wide flaws that threaten the integrity of the system as a whole. These other complex systems have developed sentinel event reviews — nonblaming, all-stakeholder, forward-leaning mechanisms — to go beyond disciplining rule-breakers in an effort to minimize the risk of similar errors occurring in the future and to improve overall system reliability. |
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| Main Term(s): |
Criminal justice system reform |
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| Index Term(s): |
National Institute of Justice (NIJ); NIJ Resources; Systems analysis |
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| Sponsoring Agency: |
National Institute of Justice (NIJ)
Washington, DC 20531 |
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| Corporate Author: |
National Institute of Justice (NIJ)
US Department of Justice
Office of Justice Programs
United States of America |
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| Page Count: |
68 |
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| Format: |
Document (Online) |
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| Type: |
Issue Overview |
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| Language: |
English |
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| Country: |
United States of America |
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To cite this abstract, use the following link:
http://www.ncjrs.gov/App/publications/abstract.aspx?ID=269240 |
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