Claim Reporting Guidelines

The Following Should Be Reported To Nevada Docs:

  • Unexpected brain damage following any treatment or procedures
  • Any surgical procedure performed on the wrong patient or at the wrong site
  • Cardiac arrest in the operating or recovery room resulting in unexpected death, brain damage, or other serious injuries to the patient.
  • Suicide attempt resulting in death or serious injury to the patient
  • Misdiagnosis in the Emergency Department resulting in death or permanent serious injury to the patient. Death within 48 hours following discharge from the Emergency Department.
  • Anesthesia complications resulting in coma, death, paralysis, or other serious injury
  • Unexpected amputation due to poor outcome of any treatment or procedure
  • Second or third-degree burns as a result of any treatment or procedure
  • Unexpected return to surgery during the same admission regardless of reason
  • Obstetrical occurrences:
  • Maternal or neonatal death
  • Infants with five minute Apgar’s less than 6
  • Infants born at less than 34 weeks gestation in hospitals without NICUs or neonatology coverage
  • Infants born at greater than 34 weeks gestation transferred to any NICU
  • Term infants that experience seizures before discharge
  • Unexpected patient death
    • Death occurring from slip or fall, medication error, equipment failure
    • Following usually non-fatal procedure, i.e., cholecystectomy in 30-year-old healthy person
  • Incidents resulting in impaired patient/visitor functioning or injury
    • Slips/falls resulting in fracture, sprain, head injury, etc.
    • Transfusion error/serious reaction, i.e., wrong type of blood infused, given to the wrong patient
    • Major IV therapy errors, i.e., wrong rate resulting in overloading/under infused, tissue/vein damage, wrong solution
  • Major biomedical device failure/damage resulting in injury or having the potential for injury to a patient or visitor. This is also important for compliance with the Safe Medical Devices Act.
  • Equipment or supply defect or damage resulting in injury to a patient. SMDA reporting requirement as well.
  • Neurological deficit not present on admission. (Exception: transitory deficit resolved by the time of discharge.)
  • Organ or system failure not present on admission. (Exception:  patient admitted in critical condition or terminal condition)
  • Patient or family says that they will sue
  • Receipt of demand letter from patient or attorney
  • Request for records by an attorney, unless you know it regards a situation not directly involving your medical care, such as a patient involved in a motor vehicle accident or Workers’ Compensation claim.
  • Medical Board, Pharmacy Board, or other regulatory disciplinary proceedings.
  • Request for Deposition, testimony by an attorney, unless you know it regards a situation not directly involving your medical care, such as a patient involved in a motor vehicle accident or Workers’ Compensation claim.
  • Lawsuit
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