healthcare provider intra / pharmaceutical staff / contaminated gas wrong sperm / healthcare / healthcare providers / /
MedicalCondition
either severe nausea / surgery deep vein thrombosis / delivery physical assault pressure ulcer / attempted suicide cardiopulmonary arrest / urinary tract infection / potential self-harm procedural complication pulmonary embolism / non-vent associated post-operative pneumonia / choking death / vomiting / injury / psychological injury / summary forms event type abduction air embolism / treatment endophthalmitis / pulmonary embolism / infection / event descriptions acinetobacter clostridium difficile infection conjunctivitis IV / MS / foreign body requiring surgical procedure post-op pneumonia post-op sepsis / bloodstream infection / infections / IV bacteremia pneumonia pneumonia / /
MedicalTreatment
catheter / 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 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 / infection control officer / Administrator / miss event nurse / chief executive officer (CEO) / chief financial officer (CFO) / The infection control officer / /
2012 ANNUAL SENTINEL EVENT SUMMARY REPORT Department of Health and Human Services Nevada State Health Division Office of Public Health Informatics and Epidemiology