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psnet.ahrq.gov/issue/patient-safety-during-perinatal-and-neonatal-care
November 15, 2017 - March 30, 2022
The postpartum hemorrhage patient safety bundle implementation at a single
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psnet.ahrq.gov/issue/medical-errors-and-safety-systems
March 19, 2008 - Related Resources
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage
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psnet.ahrq.gov/issue/patient-safety-through-teamwork-and-communication-toolkit
October 25, 2013 - November 8, 2023
Toolkits To Reduce Hypertension in Pregnancy and Obstetric 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/teamstepps-diagnosis-improvement
July 17, 2024 - Related Resources
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/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
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psnet.ahrq.gov/issue/developing-resilience-combat-nurse-burnout
May 01, 2019 - January 15, 2020
Proactive prevention of maternal death from maternal hemorrhage.
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psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse
February 17, 2021 - January 15, 2020
Proactive prevention of maternal death from maternal hemorrhage.
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psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care
July 20, 2021 - December 22, 2021
Proactive prevention of maternal death from maternal hemorrhage.
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psnet.ahrq.gov/issue/improving-patient-safety-culture-practical-guide
April 23, 2014 - March 6, 2024
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage.
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psnet.ahrq.gov/issue/maternal-mortality-near-miss-events-middle-income-countries-systematic-review
October 13, 2021 - The most common causes of near miss were obstetric hemorrhage and hypertensive disorders .
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psnet.ahrq.gov/issue/compliance-patient-safety-bundle-management-placenta-accreta-spectrum
October 19, 2022 - Placenta accreta spectrum (PAS) is a maternal complication that can result in life-threatening hemorrhage
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psnet.ahrq.gov/issue/examining-effect-quality-improvement-initiatives-decreasing-racial-disparities-maternal
May 11, 2022 - larger quality improvement and patient safety initiative to reduce severe maternal morbidity from hemorrhage
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psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
March 23, 2022 - identified a shift from deaths occurring during the early phase of care (e.g., failed resuscitation and hemorrhage
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psnet.ahrq.gov/issue/busy-day-effect-perinatal-complications-delivery-weekends-retrospective-cohort-study
January 16, 2019 - perinatal complications of childbirth, including low Apgar scores, neonatal seizures, and postpartum hemorrhage
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psnet.ahrq.gov/periodic-issue/periodic-issue-436
April 10, 2024 - Computed tomography (CT) of the head revealed a right thalamic hemorrhage. … There was no intracranial hemorrhage identified on non-contrast computed tomography (CT) of the head … A repeat CT scan was performed and revealed a new subdural hemorrhage.
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psnet.ahrq.gov/periodic-issue/periodic-issue-434
April 10, 2024 - Computed tomography (CT) of the head revealed a right thalamic hemorrhage. … There was no intracranial hemorrhage identified on non-contrast computed tomography (CT) of the head … A repeat CT scan was performed and revealed a new subdural hemorrhage.
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psnet.ahrq.gov/periodic-issue/periodic-issue-437
April 10, 2024 - Computed tomography (CT) of the head revealed a right thalamic hemorrhage. … There was no intracranial hemorrhage identified on non-contrast computed tomography (CT) of the head … A repeat CT scan was performed and revealed a new subdural hemorrhage.
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psnet.ahrq.gov/issue/hcup-statistical-brief-313-trends-severe-maternal-morbidity-complications-patient
December 16, 2009 - Common acquired conditions identified include hemorrhage, sepsis , and respiratory and renal complications