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Nevada Sentinel Events Registry
The
Nevada Sentinel
Events Registry was established in July 2003 by
Nevada Revised Statute 439.800-890, in response to the
Institute of Medicine's report, To Err is Human.
The statute requires the reporting of Sentinel Events by
hospitals, obstetric centers, ambulatory surgery centers
and independent centers for emergency medical care.
The Nevada Hospital Association, in partnership with the
Nevada State Health Division, developed regulations (NAC
439.900-920) and implemented this legislation.
Reporting by the medical facilities began January 1,
2005.
Assembly Bill 59 was
passed during the 2005 73rd Session of the Legislature,
and was effective October 1, 2005. It amended the
definition of sentinel event to include
facility-acquired infection (also known as nosocomial
infection), as well as adding the definition of
facility-acquired infection to NRS 439.
A sentinel event is
defined as an unexpected occurrence involving
facility-acquired infection, death or serious physical
or psychological injury or risk thereof, including,
without limitation, any process variation for which a
recurrence would carry a significant chance of a serious
adverse outcome, including loss of limbs, or function.
The Bureau serves as a
repository for health care quality assurance, collecting
and compiling, and disseminating data, while ensuring
that information is aggregated in reporting so as not to
reveal the identity of a specific person or medical
facility. |
