All insights

Whitepaper

The Hidden Cost of Hindsight

Why behavioral healthcare's most serious events are the ones seen too late.

In behavioral health, the most serious events are usually visible in the data before they happen — but seen only in retrospect. This paper makes the case for shifting from retrospective review to real-time foresight, always under human oversight.

Key findings

  • The Joint Commission reviewed 1,575 sentinel events in 2024
  • A leading contributing factor was inadequate shared understanding across the care team
  • 75% of the suicides reviewed occurred within 7 days of discharge or during intensive care

About PraxisOne A behavioral healthcare technology company built by operators — working alongside care teams, not on top of them.