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.  

To Request a new REDCap SER account (New facility or New Staff)

For a new REDCap account for the Sentinel Events Registry (SER) program, or any other program that uses the REDCap platform please complete this survey form in the link below. 

If a single account needs to represent more than one facility, the New SER Account form can accommodate collecting the needed information.

Your primary contact email MUST be unique to you.

If required fields are left blank, the process will be delayed while the needed information is asked for through an email.  Please do not put commas in fields.  If a field does not apply to you enter ‘NA’.

https://redcap.link/REDCAP_USER

 

 

Once on the web browser, scroll down to see the area for input of information.

 

A new account will be created within 10 business days ( or sooner if possible, hopefully not later).  Each role at your facility, Patient Safety Officer(required), Designated Reporter1(optional), and Designated Reporter2(optional) accounts need to complete the survey.

 

 

Program website.  https://dpbh.nv.gov/ser/

    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. 

     

    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. 



    Code Facility Description Type Count
    HHA AGENCY TO PROVIDE NURSING IN THE HOME 191
    HBR AGENCY TO PROVIDE NURSING IN THE HOME - BRANCH OFFICE 6
    HSB AGENCY TO PROVIDE NURSING IN THE HOME - SUB UNIT 2
    PCS AGENCY TO PROVIDE PERSONAL CARE SERVICES IN THE HOME 269
    BPR BUSINESS THAT PROVIDES REFERRALS TO RFFG OR OTHER APPLICABLE GROUP HOMES 2
    CBL COMMUNITY BASED LIVING ARRANGEMENT SERVICES - RESIDENTIAL CBLA FACILITY 106
    CBA COMMUNITY BASED LIVING ARRANGEMENT SERVICES - SERVICE ONLY PROVIDER 4
    CTC COMMUNITY TRIAGE CENTER 3
    HFS FACILITY FOR HOSPICE CARE 3
    ICF FACILITY FOR INTERMEDIATE CARE 4
    IMR FACILITY FOR INTERMEDIATE CARE/IID 7
    MDX FACILITY FOR MODIFIED MEDICAL DETOXIFICATION 5
    SNF FACILITY FOR SKILLED NURSING 56
    ADC FACILITY FOR THE CARE OF ADULTS DURING THE DAY 36
    ADA FACILITY FOR THE TREATMENT OF ABUSE OF ALCOHOL OR DRUGS 24
    ESRD FACILITY FOR THE TREATMENT OF IRREVERSIBLE RENAL DISEASE 54
    TLF FACILITY FOR TRANSITIONAL LIVING OF RELEASED OFFENDERS 6
    NTC FACILITY FOR TREATMENT WITH NARCOTICS 16
    HWH HALF-WAY HOUSE FOR RECOVERING ALCOHOL AND DRUG ABUSERS 7
    HIC HOME FOR INDIVIDUAL RESIDENTIAL CARE 142
    HPC HOSPICE CARE - PROGRAM OF CARE 105
    HOS HOSPITAL 52
    ICE INDEPENDENT CENTER FOR EMERGENCY MEDICAL CARE 1
    ISO INTERMEDIARY SERVICE ORGANIZATION 2
    MED MEDICATION UNIT 3
    NSP NURSING POOL 57
    OBC OBSTETRIC CENTER 1
    OPF OUTPATIENT FACILITY 44
    PCO PERSONAL CARE AGENCY THAT IS ALSO ISO CERTIFIED 17
    DVP PROGRAM FOR TREATMENT OF PERSONS WHO COMMIT DOMESTIC VIOLENCE 30
    PRT PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY 12
    AGC RESIDENTIAL FACILITY FOR GROUPS 384
    RHC RURAL CLINIC 18
    RUH RURAL HOSPITAL 14
    SFD SKILLED NURSING FACILITY DISTINCT PART OF HOSPITAL 8
    ASC SURGICAL CENTER FOR AMBULATORY PATIENTS 80