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2011 ANNUAL SENTINEL EVENT SUMMARY REPORT Department of Health and Human Services Nevada State Health Division Bureau of Health Statistics, Planning, Epidemiology, and Response
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Document Date: 2013-05-24 19:29:06

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File Size: 654,45 KB

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City

Richard Whitley / /

Company

SENTINEL / /

Event

Product Issues / /

IndustryTerm

healthcare provider infant discharge / pharmaceutical staff / contaminated gas wrong sperm / /

MedicalCondition

MRSA pneumonia / IV site infection / pneumonia / seizures / urinary tract infection / respiratory surgical site infection vancomycin resistant enterococci / ID infection / ANNUAL SENTINEL EVENT SUMMARY REPORT event type pressure ulcer / difficile infection / pin tract infection NOT HAI pneumonia pneumonia / decubitus ulcer / sleep apnea / deep vein thrombosis / septic shock / psychological injury / summary forms event type abduction air embolism / pulmonary embolism / infection / cardiac arrest / MS / hypoglycemia / infections / infection-non-catheter-related urinary tract infection / deep tissue injury / infection-non-central line-related bloodstream infection HAI / /

MedicalTreatment

catheter / spinal manipulation / surgery / medication error / /

Organization

Nevada State Health Division / State Board of Health / ANNUAL SENTINEL EVENT SUMMARY REPORT Department of Health and Human Services Nevada State Health Division Bureau of Health Statistics / Response office of Public Health Informatics / Department of Health and Human Services / One / State Health Officer Health Division / /

Person

Epidemiology Brian Sandoval / Michael J Willden / Tracey D Green / /

Position

The patient safety officer / Governor / Director / Administrator / chief executive officer (CEO) / chief financial officer (CFO) / The infection control officer / /

Product

device / gas wrong sperm / drug / /

ProvinceOrState

Nevada / Mississippi / /

SocialTag