Current through September 16, 2024
1. A report submitted pursuant to NRS
NRS
439.835 must be submitted in the format
prescribed pursuant to subsection 4 and must include, without limitation:
(a) The unique identification code assigned
to the medical facility by the Division pursuant to subsection 5;
(b) The name of the person who is making the
report;
(c) The date on which the
sentinel event occurred;
(d) The
date that the medical facility was notified of the occurrence of the sentinel
event;
(e) If the patient resides
in this State, the county in which the patient resides;
(f) If the patient does not reside in this
State, the state or country in which the patient resides;
(g) The date of birth of the
patient;
(h) The sex of the
patient;
(i) A description of the
sentinel event; and
(j) The
department of the medical facility at which the sentinel event
occurred.
2. Within 45
days after receiving notification or becoming aware of the occurrence of a
sentinel event pursuant to subsection 1 or 2 of
NRS
439.835, the patient safety officer of the
medical facility in which the sentinel event occurred must submit a second
report to the Division. A report required by this subsection must be submitted
in the format prescribed pursuant to subsection 4 and must include, without
limitation:
(a) The factors that contributed
to the sentinel event, including, without limitation:
(1) Any medical or other condition of the
patient;
(2) Any policy, procedure
or process of the medical facility;
(3) Any environmental condition of the
medical facility;
(4) Any behavior
of a member of the staff of the medical facility;
(5) Any situation present at the medical
facility; and
(6) Any problem
involving communication or documentation at the medical facility.
(b) The corrective actions, if
any, identified pursuant to NAC 439.917 that will be taken by the medical
facility to address the factors that contributed to the sentinel event,
including, without limitation:
(1) A review of
the policies, procedures or processes of the medical facility;
(2) Any change or development of the
policies, procedures or processes of the medical facility;
(3) Any disciplinary actions taken against a
member of the staff of the medical facility by the medical facility;
(4) Any environmental or equipment changes
made in the medical facility;
(5)
Any education or retraining provided to the staff of the medical
facility;
(6) The date by which
each corrective action will be completed; and
(7) The title of the person who is
responsible for overseeing each corrective action.
(c) A copy of the plan to remedy the causes
or contributing factors, or both, of the sentinel event developed pursuant to
subsection 3 of NAC 439.917 or the statement prepared pursuant to subsection 4
of that section.
3. A
report submitted pursuant to subsection 1 must indicate the date that the
report was submitted to the Division. Proof satisfactory to the Division of the
date that a report was submitted includes:
(a) The postmark on the package in which the
report was submitted to the Division;
(b) The date stamp created by a facsimile
machine used to transmit the report to the Division;
(c) The electronic date stamp created by a
program of electronic mail used to transmit the report to the Division;
and
(d) Any other evidence
acceptable to the Division, as indicated on the form created by the Division
pursuant to subsection 4.
4. The Division shall develop the format for
each report required by subsection 1 or 2, which must require, without
limitation, the reporting of information relating to sentinel events. The
Division shall distribute copies of the forms created pursuant to this
subsection to each medical facility in this State. The Division shall notify
medical facilities that an update to a form is available within 30 days after
making a change to a form.
5. The
Division shall assign a unique identification code to each medical facility in
this State, to be used on the reports required by subsections 1 and
2.
Added to NAC by Health
Div. by R118-04, eff. 11-4-2004; A by Bd. of Health by R044-10, 10-15-2010;
Added to NAC by Health Div. by R118-04, eff. 11-4-2004; A by Bd. of Health by
R044-10, 10-15-2010;
R104-12,
10/24/2014
NRS
439.835,
439.890
