-
ce.effectivehealthcare.ahrq.gov/hai/pfp/interimhac2013-ap1.html
December 01, 2014 - 65,000
2.0
PSI (2012)
Iatrogenic Pneumothorax (PSI 6)
12,000
0.37
PSI (2012)
Post-Op Hemorrhage
-
ce.effectivehealthcare.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - 100,000
3.08
PSI
Iatrogenic Pneumothorax (PSI 6)
13,000
0.40
12,000
0.37
PSI
Post-Op Hemorrhage
-
ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201906.html
November 01, 2019 - OB hemorrhage task force.
Designation of OB clinical risk manager.
-
ce.effectivehealthcare.ahrq.gov/news/blog/ahrqviews/womens-health-week-2023.html
May 01, 2023 - health, including rising rates of severe maternal morbidity, eclampsia/preeclampsia, severe postpartum hemorrhage
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
April 01, 2016 - Patient is at a high risk for bleeding (i.e. GI hemorrhage, bleeding disorders documented). … about 22%
Typical ASA dose 81 to 162 mg per day
Alternatives may be used (e.g. clopidogrel)
Serious bleeding … RecommendationStatementFinal/aspirin-to-prevent-cardiovascular-disease-and-cancer
Complex because of bleeding … Persons who are not at increased risk for bleeding, have a life expectancy of at least 10 years, and … risk score using the most current evidence on bleeding and aspirin use to derive a patient’s likely
-
ce.effectivehealthcare.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - Surgeries
MPSMS
Postoperative Pneumonia
PSI
Iatrogenic Pneumothorax (PSI 6)
PSI
Post-Op Hemorrhage … 32,750,000
2.959
PSI
Iatrogenic Pneumothorax (PSI 6)
13,490
32,750,000
0.412
PSI
Post-Op Hemorrhage
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
July 01, 2023 - communicating a sense of urgency when requesting other unit personnel and provider for helpresponding to a hemorrhage … When giving and receiving new orders to manage the hemorrhage.
-
ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-halamek.html
August 01, 2023 - of the umbilical cord has been shown to decrease rates of iron deficiency anemia, intraventricular hemorrhage … (bleeding inside or around the brain), and blood transfusion.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p006-2-ef.pdf
December 01, 2015 - Hypothermia is associated with the death of the infant prior to discharge from the hospital and with bleeding … puts low birth weight infants at risk for devastating outcomes
before discharge, including death and hemorrhage
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Loux.pdf
January 01, 2004 - for three of the 19 PSIs (iatrogenic pneumothorax, infection due to
medical care, and postoperative hemorrhage … of the 19 PSIs
studied: iatrogenic pneumothorax, infection due to medical care, and
postoperative hemorrhage … lower than the medium hospitals for two
of the PSIs: postoperative hip fracture and postoperative hemorrhage … 0.09% (176)†
0.12% (153)
0.10% (72)
0.18% (69)
0.13% (54)
0.14% (54)
Postoperative
hemorrhage
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-vbac-ab-pain.html
July 01, 2023 - about this delivery as her sister delivered a baby 3 months ago in east Africa and passed away from a hemorrhage … about this delivery as her sister delivered a baby 3 months ago in east Africa and passed away from a hemorrhage
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
March 18, 2014 - The baby dies from ventricular
hemorrhage caused by trauma. … for: L&D
Setting: Hospital
Denise Whitaker, a 36-year-old G2 P1 with a history of a postpartum hemorrhage … Carol McCarthy, a 32-year-old Gravida 4 Para 2 patient is admitted to labor and delivery with
vaginal bleeding … An exploratory
laparotomy reveals massive intra-abdominal hemorrhage requiring a hysterectomy and blood … The placenta does not detach, the uterus fails to
contract, and massive hemorrhage ensues.
-
ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/scenarios/labordel.html
March 01, 2014 - The baby dies from ventricular hemorrhage caused by trauma. … :
L&D
Setting:
Hospital
Denise Whitaker, a 36-year-old G2 P1 with a history of a postpartum hemorrhage … Carol McCarthy, a 32-year-old Gravida 4 Para 2 patient is admitted to labor and delivery with vaginal bleeding … An exploratory laparotomy reveals massive intra-abdominal hemorrhage requiring a hysterectomy and blood … The placenta does not detach, the uterus fails to contract, and massive hemorrhage ensues.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-209-fullreport.pdf
June 01, 2019 - dysplasia (BPD), retinopathy of prematurity (ROP), necrotizing enterocolitis (NEC),
intraventricular hemorrhage … strong, with values above 0.7 for all measures except
for the most severe grades of intraventricular hemorrhage … Impact of low-grade intraventricular
hemorrhage on long-term neurodevelopmental outcome in preterm infants … Neutral head positioning in premature infants for intraventricular
hemorrhage prevention: An evidence-based … Maternal race, demography, and health care
disparities impact risk for intraventricular hemorrhage in
-
ce.effectivehealthcare.ahrq.gov/research/findings/evidence-based-reports/search.html?page=15
June 01, 2015 - Northwest EPC—Oregon Health & Science University Report Status: Final
Management of Postpartum Hemorrhage
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
March 10, 2008 - MDC14 (pregnancy,
childbirth, and puerperium)
Yes, hip fracture
repair
PSI 9: Postoperative
hemorrhage … combination of S27.0 (traumatic pneumothorax) and Y60
(unintentional cut, puncture, perforation, or hemorrhage … codes are not sufficiently precise to identify some exclusion conditions, such as
gastrointestinal hemorrhage … For example, I98.2 (esophageal varices in diseases classified
elsewhere) does not indicate whether bleeding … was present, which is integral to the definition of
gastrointestinal hemorrhage.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-5-table-11-figs-1-2.pdf
April 21, 2015 - that headaches in the absence of
documented neurologic signs or symptoms that
suggest intracranial hemorrhage
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
July 01, 2023 - relay critical information immediately, call-outs are most helpful during emergent events, such as a hemorrhage … Check-Back
During handoffs and care transitions
In response to a call-out
Especially about blood loss during hemorrhage … During a hemorrhage events, it’s especially important to acknowledge and confirm you have heard the blood … shift changes wherein one provider is being temporarily relieved of duty by another provider; during hemorrhage … hypertension, you should review the patient problem list and communicate the risks or realities of hemorrhage
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_ut-tachysystole.docx
May 01, 2017 - Patient has no vaginal bleeding. … Patient has no vaginal bleeding.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
July 01, 2023 - relay
critical information immediately, call‐outs are most helpful during emergent events, such as
a hemorrhage … During handoffs and care transitions
• In response to a call‐out
o Especially about blood loss during hemorrhage … During a
hemorrhage events, it’s especially important to acknowledge and confirm you
have heard the … shift changes wherein one provider is being temporarily relieved of duty by another
provider; during hemorrhage … hypertension, you should review the patient problem list and communicate the risks
or realities of hemorrhage