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psnet.ahrq.gov/node/43313/psn-pdf
April 22, 2015 - conditions drawn from AHRQ Quality Indicators—acute
myocardial infarction, heart failure, gastrointestinal hemorrhage
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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - Stroke alerts emphasize ruling out intracerebral hemorrhage with a non-contrast cranial CT, administering … thrombolysis in the CT scanner after the non-contrast cranial CT is performed to rule out intracranial hemorrhage … treatable neurological emergencies such as acute ischemic stroke (with and without LVO), intracranial hemorrhage … normal in early acute ischemic stroke and this technology is primarily used to rule out intracranial hemorrhage
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psnet.ahrq.gov/node/49477/psn-pdf
April 01, 2005 - A non-contrast CT
scan of the brain revealed blurring of the left gray-white junction with no hemorrhage … She didn’t suffer any other bleeding complications, but she
was unable to receive many elements of standard … window of time, the potential benefits of thrombolysis are thought to be
outweighed by the real risk of hemorrhage … patient is eligible for thrombolysis, and rule out any condition, such
as coagulopathy or preexisting bleeding … to a patient whose INR was supratherapeutic (above 3)
undoubtedly placed her at increased risk for bleeding
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psnet.ahrq.gov/issue/teamstepps-video-toolkit
April 06, 2022 - March 27, 2024
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage.
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psnet.ahrq.gov/issue/national-review-maternity-services-england-2022-2024
November 13, 2024 - September 6, 2023
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage
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psnet.ahrq.gov/web-mm/hold-tpa
July 29, 2020 - A non-contrast CT scan of the brain revealed blurring of the left gray-white junction with no hemorrhage … She didn’t suffer any other bleeding complications, but she was unable to receive many elements of standard … window of time, the potential benefits of thrombolysis are thought to be outweighed by the real risk of hemorrhage … to a patient whose INR was supratherapeutic (above 3) undoubtedly placed her at increased risk for bleeding … schedule.( 5,6 ) In one study, 10% of the violations involved tPA administered to patients with a “bleeding
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psnet.ahrq.gov/issue/contribution-diagnostic-errors-maternal-morbidity-and-mortality-during-and-immediately-after
February 17, 2021 - error in maternal morbidity and mortality , the preventability of common problems such as maternal hemorrhage
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psnet.ahrq.gov/issue/error-traps-pediatric-patient-blood-management-perioperative-period
January 12, 2022 - consider specific intraoperative blood conservation techniques in children, failure to recognize massive hemorrhage
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psnet.ahrq.gov/issue/patient-safety-incidents-caused-poor-quality-surgical-instruments
April 06, 2022 - A WebM&M commentary discussed an incident involving life-threatening hemorrhage due to a broken surgical
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psnet.ahrq.gov/issue/unrecognized-cardiovascular-emergencies-among-medicare-patients
November 16, 2022 - abdominal aortic aneurysm, acute myocardial infarction (AMI), stroke, aortic dissection, and subarachnoid hemorrhage
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psnet.ahrq.gov/issue/supporting-second-victims
February 15, 2023 - January 15, 2020
Proactive prevention of maternal death from maternal hemorrhage.
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psnet.ahrq.gov/issue/supporting-safe-equitable-care-during-covid-19-pandemic
March 02, 2022 - January 15, 2020
Proactive prevention of maternal death from maternal hemorrhage.
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psnet.ahrq.gov/issue/addressing-intimate-partner-violence-and-helping-protect-patients
February 15, 2023 - January 15, 2020
Proactive prevention of maternal death from maternal hemorrhage.
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psnet.ahrq.gov/issue/pc-standards-maternal-safety
September 06, 2017 - admission and role-specific education for staff and providers who treat maternal patients regarding hemorrhage
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psnet.ahrq.gov/issue/drug-diversion-and-impaired-health-care-workers
July 31, 2019 - January 15, 2020
Proactive prevention of maternal death from maternal hemorrhage.
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psnet.ahrq.gov/issue/eliminating-vincristine-administration-events
February 15, 2023 - February 15, 2023
Proactive prevention of maternal death from maternal hemorrhage.
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psnet.ahrq.gov/issue/improving-diagnosis-and-treatment-maternal-sepsis
September 22, 2021 - Related Resources
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage
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psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results
November 13, 2019 - Resources From the Same Author(s)
Proactive prevention of maternal death from maternal hemorrhage
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psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
July 17, 2024 - Related Resources
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage
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psnet.ahrq.gov/issue/assessing-excess-costs-hospital-adverse-events-covered-ahrqs-patient-safety-indicators
January 10, 2024 - The most common PSI was postoperative hemorrhage/hematoma (27.6%) and the highest cost by case was postoperative