Sentinel Event Registry (SER) - Forms

Event Date on or After October 20, 2016

Please use the link https://dpbhrdc.nv.gov/redcap/ to report Sentinel Events. If you do not have an account for your facility, please contact Yucui (Yurie) Liu at yliu@health.nv.gov or call 775-684-4112.

• https://dpbhrdc.nv.gov/redcap/

Event Date On Or After July 1,2014

• 2015 Report Form Pt. 1
• 2015 Report Form Pt. 2

Event Date Between October 1, 2013 and June 30, 2014

• 2013 Report Form Pt. 1
• 2013 Report Form Pt. 2

Event Date Between January 1, 2012 and September 30, 2013

• 2012 Report Form

Event Date Between January 1, 2011 and December 31, 2011

• 2011 Report Form Pt. 1
• 2011 Report Form Pt. 2

2015 Summary Report Form

• Summary Report Form

Contact Form

• Contact Form