Sentinel Events Initiative
"The Sentinel Events Initiative (SEI) is a joint project of the Bureau of Justice Assistance (BJA) and the National Institute of Justice (NIJ). It seeks to empower local jurisdictions to take an all-stakeholder, non-blaming, forward-looking approach to learning from errors, with the goal of mitigating future risk. SEI assists jurisdictions to build capacity and conduct their own sentinel event reviews to transform bad events into opportunities to address systemic flaws, prevent their recurrence, and earn public trust, thereby increasing safety, lowering costs, and instilling a culture of disclosure."