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Council discusses Sentinel Event Review process for serious incidents; direction for staff to develop details
Summary
Council members debated a proposed Sentinel Event Review process—a multidisciplinary review modeled on practices from health care and other fields—to examine root causes of critical incidents. Supporters said it would highlight systems gaps beyond criminal adjudication; some members urged caution and asked staff to coordinate with county partners,
The city attorney’s office presented a draft framework for a Sentinel Event Review (SER) process on Jan. 6, describing a non‑adversarial, multidisciplinary review intended to identify system‑level causes after serious incidents (for example, a death or major injury) rather than to assign criminal blame. The concept is modeled on health‑care and other industries’ after‑action reviews and was proposed after council requested a mechanism to examine high‑impact incidents following last year’s officer‑involved fatality reviews.
City Attorney Moses Brown and staff described what an SER could cover and the legal limits the city faces: state statutes restrict access to investigative records such as police reports, SBI reports and body‑worn camera footage in certain circumstances. Brown said the…
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