Sentinel Event Registry (SER) - Forms

SER 2020 and Beyond (SB457)

With the passage of SB457 in the 2019 State of Nevada Legislature, the list of healthcare facilities that report sentinel events to the State of Nevada Sentinel Events Registry (NRS 439.800) has expanded (see below for a list of healthcare facility types). 

 Starting October 1, 2019, SB457 defined healthcare providers are required to report.  This is being implemented 1/1/2020.  If your facility is required to report and you have not been contacted in January 2020 to establish your reporting accounts, please contact the SER program to assist you in meeting these requirements.   

Activities of healthcare facilities associated with the Sentinel Events Registry include:

(An appropriate SER REDCap user account is needed to access these forms - send an email to SER @ HEALTH.NV.GOV to establish such an account)

1)     Sentinel Event Registry Report Form 1 and 2  The reporting / investigation of sentinel events (NQF definition - Serious Report-able Event). 

2)      File Annual Summary Report (Due March 1)  The annual summary of sentinel events / patient safety efforts (meeting schedules, participants, patient safety plan, etcetera).

3)     Update SER Contact and Staff Information. The assigning of the patient safety officer, designated reporters (up to 2),  and an administrator account and contact information. 

 SB457 Notification Letter

 SER FAQ Frequently Asked Questions

If you do not have an account(s) for your facility or need to make changes to your established account(s) contact/staffing information, please contact the SER team at  ser at health dot nv dot com or call 775-684-4112 or 775-684-5297.  

• Update Contact Form
• Report an individual Sentinel Event (Forms 1 and 2)
• File Annual Summary Report (Due March 1)

Event Date on or After October 20, 2016

Please use the link https://dpbhrdc.nv.gov/redcap/ to report Sentinel Events, or to update the Contact Form for all 2019 and earlier reporting. If you do not have an account for your facility, please contact the SER team at ser at health dot nv dot gov or call 775-684-4112 or775-684-5297.  2019 Annual Summary Report filing will use the new reporting form linked above. 

• https://dpbhrdc.nv.gov/redcap/

List of Healthcare Facility License Types SER Reporting (SB457)

State of Nevada Healthcare License types now required by SB457 to report to the Sentinel Events Registry.

Information reporting regarding safety meetings, patient safety plans, the average number of paid staff onsite per day in the filing year, ass well as individual and summary reporting for sentinel events are now (start 1/1/2020) required.  If your facility type is on this list and you have not been contacted or have already been setup to enter this information, please contact the SER program as listed above.