-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse.pptx
October 01, 2017 - Improving hospital systems for the care of women with major obstetric hemorrhage.
-
monahrq.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-slides.html
July 01, 2023 - Improving hospital systems for the care of women with major obstetric hemorrhage.
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-april2015.pptx
January 01, 2015 - Teams
Slide ‹#›
14
Interprofessional Education (IPE)
3 Cases per Session (1/2 day)
Intracranial hemorrhage
-
monahrq.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - Related Bloodstream Infection
PSI 08: In-‐Hospital Fall With Hip Fracture *
PSI 09: Perioperative Hemorrhage … NQI 01: Iatrogenic Pneumothorax
PDI 06: Pediatric Heart Surgery Mortality *
PDI 08: Perioperative Hemorrhage
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
January 01, 2020 - by patient-level characteristics such as age, sex, type of AF, comorbidities, risk for stroke or
bleeding … Prior rate- or rhythm-control
pharmacological strategy was ineffective
o High risk for stroke or bleeding … infarction
• Procedural complications (pulmonary vein
stenosis, atrioesophageal fistula, major
bleeding … complications/hemorrhage, phrenic
nerve palsy, pericardial effusion or cardiac
tamponade, deep vein … hepatotoxicity, neurotoxicity, pulmonary
toxicity, ophthalmological toxicity,
dermatological toxicity)
• Hemorrhage
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - Noncardiac Surgeries
MPSMS Postoperative Pneumonia
PSI Iatrogenic Pneumothorax (PSI 6)
PSI Post-Op Hemorrhage … Iatrogenic
Pneumothorax
7,372 18,948,556 5,472 25,363,956 4,852 25,536,803
PSI 9, Perioperative
Hemorrhage … PSI Iatrogenic
Pneumothorax
10,674 0.36 9,694 0.33 9,688 0.33 8,525 0.29
(PSI 6)
PSI Post-Op
Hemorrhage
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - IQI 16 Heart Failure Mortality Rate
• IQI 17 Acute Stroke Mortality Rate
• IQI 18 Gastrointestinal Hemorrhage
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - Noncardiac Surgeries
MPSMS Postoperative Pneumonia
PSI Iatrogenic Pneumothorax (PSI 6)
PSI Post-Op Hemorrhage … Adverse Events for This Measure
PSI 6, Iatrogenic Pneumothorax 7,372 18,948,556
PSI 9, Perioperative Hemorrhage … PSI Iatrogenic
Pneumothorax
10,674 0.36 9,694 0.33 9,688 0.33 9,688 0.33
(PSI 6)
PSI Post-Op
Hemorrhage
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - Noncardiac Surgeries
MPSMS Postoperative Pneumonia
PSI Iatrogenic Pneumothorax (PSI 6)
PSI Post-Op Hemorrhage … MPSMS Postoperative Pneumonia 88,015 2.96
PSI Iatrogenic Pneumothorax (PSI 6) 10,674 0.36
PSI Post-Op Hemorrhage … 2.17
PSI Iatrogenic
Pneumothorax (PSI
6)
10,674 0.36 9,694 0.33 9,694 0.33
PSI Post-Op
Hemorrhage
-
monahrq.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
January 01, 2004 - international normalized ratio (INR) values either were <
2.0 (at risk for thrombosis) or > 4.0 (at risk for hemorrhage … them at risk for serious, preventable complications such as
stroke (if under-anticoagulated)3, 4 and bleeding … associated with increased risks of adverse
events,4, 37 such as thrombotic events (under-treatment) or bleeding … over-anticoagulation, each of which has been shown to be related to adverse
outcomes such as stroke and bleeding
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ed.pdf
March 19, 2014 - The right leg is really mangled and continuing to
hemorrhage.
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
May 01, 2017 - deterioration
Specific activation criteria:
· Category III fetal heart rate tracing
· Bright red vaginal bleeding … specific activation criteria include—
· Category III fetal heart rate tracing
· Bright red vaginal bleeding … FHR tracing
_____________________
_____________________
Cord prolapse
Shoulder dystocia
Vaginal hemorrhage
-
monahrq.ahrq.gov/teamstepps/instructor/scenarios/ed.html
March 01, 2014 - The right leg is really mangled and continuing to hemorrhage.
-
monahrq.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - 71,000
2.2
PSI (2014)
Iatrogenic Pneumothorax (PSI 6)
12,000
0.36
PSI (2014)
Post-Op Hemorrhage
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ancillary.pdf
March 19, 2014 - The right leg is
really mangled and continuing to hemorrhage. … new pharmacy technician
says, “I didn’t understand why we were giving Heparin to a patient who was bleeding
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - Pneumonia
71,000 2.2
PSI (2014) Iatrogenic
Pneumothorax (PSI
6)
12,000 0.36
PSI (2014) Post-Op Hemorrhage
-
monahrq.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - 51,000
1.6
PSI (2014)
Iatrogenic Pneumothorax (PSI 6)
12,000
0.37
PSI (2014)
Post-Op Hemorrhage
-
monahrq.ahrq.gov/teamstepps/instructor/scenarios/ancillarysvcs.html
October 01, 2014 - The right leg is really mangled and continuing to hemorrhage. … new pharmacy technician says, "I didn't understand why we were giving Heparin to a patient who was bleeding
-
monahrq.ahrq.gov/teamstepps/lep/traintrainers/lepigstafftrain.html
October 01, 2020 - Willie's brain hemorrhage kept bleeding for more than 2 days before a neurologic consult was scheduled
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/CombatCare.pdf
March 18, 2014 - TeamSTEPPS Speciality Scenarios - Combat Care
TeamSTEPPS 2.0 Specialty Scenarios - 137
Specialty
Scenarios
COMBAT CARE
Specialty Scenarios - 138 TeamSTEPPS 2.0
Specialty
Scenarios
Combat Care
Scenario 117
Appropriate for: All Specialties
Setting: Hospital
A 22-year-old patient is brough…