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)

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. 

• 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.