-
psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - • She was taken to an acute care hospital where she was diagnosed with a
traumatic subarachnoid hemorrhage … • Her family requested comfort care and hospice; the patient died due to
complications of her hemorrhage
-
psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - The induction failed and the resulting cesarean delivery was complicated by significant postpartum
hemorrhage … The CT scan showed no evidence of intra-abdominal bleeding, and therefore
the laparotomy was cancelled … with complications.6
As described by Graber and colleagues, anchoring on the diagnosis of postpartum hemorrhage
-
psnet.ahrq.gov/node/73153/psn-pdf
April 28, 2021 - Vaginal packing is commonly
used in obstetrics, usually in the management of hemorrhage, but is also … iodoform gauze) that
is forcefully and tightly placed in a cavity, orifice, or wound, usually to control bleeding … This is not an endless chain of events, as orifice packing for hemorrhage
control rarely lasts longer … material that is forcefully and tightly placed in a cavity, orifice, or wound,
usually to control bleeding
-
psnet.ahrq.gov/web-mm/blind-spot
July 30, 2020 - Patients with significant gastrointestinal bleeding have also been reported to develop AION between 1 … and 3 weeks after their hemorrhage.( 10 ) Alternatively, an unremarkable hospital course, as in this
-
psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
October 28, 2020 - extracorporeal membrane oxygenation to support her cardiorespiratory function but developed massive intracranial hemorrhages … of 1 in 10,000 individuals 2-4 – and can be related to autoimmune destruction, infiltration/injury (hemorrhage
-
psnet.ahrq.gov/issue/manitoba-institute-patient-safety
March 06, 2005 - April 15, 2009
The postpartum hemorrhage patient safety bundle implementation at a single
-
psnet.ahrq.gov/node/867980/psn-pdf
March 25, 2025 - Such conditions (etiologies) in patients with headache include intracranial
hemorrhage, CNS infections
-
psnet.ahrq.gov/node/848110/psn-pdf
April 26, 2023 - She was taken to an acute care hospital where she
was diagnosed with a traumatic subarachnoid hemorrhage … Her family requested comfort care and hospice;
the patient died due to complications of her hemorrhage
-
psnet.ahrq.gov/issue/state-nurse-error-caused-death
May 10, 2006 - November 3, 2021
The postpartum hemorrhage patient safety bundle implementation at a
-
psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
May 01, 2019 - Brugada syndrome) • Pericarditis/myocarditis • Pulmonary embolism • Subarachnoid hemorrhage
-
psnet.ahrq.gov/issue/new-ahrq-surveys-patient-safety-culturetm-diagnostic-safety-supplemental-items-medical
July 14, 2021 - May 3, 2023
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage.
-
psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
January 01, 2016 - Large-bore nasogastric tubes find their way into the lung causing pneumonia, pneumothorax, and hemorrhage … February 1, 2004
WebM&M Cases
Undiagnosed Vaginal Bleeding
-
psnet.ahrq.gov/node/49845/psn-pdf
October 01, 2018 - only after a patient has experienced a significant adverse event such as a severe
bleed or internal hemorrhage
-
psnet.ahrq.gov/node/49442/psn-pdf
May 01, 2004 - Conditions
Abscess
Legionella, Mycoplasma,
Chlamydia (depending on initial
antibiotic choice)
Pulmonary hemorrhage
-
psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - However, she suffered from ischemic stroke and intracranial hemorrhages, ultimately leading to a transition … The surgical team had difficulty controlling bleeding and the patient left the operating room (OR) with … unit (PACU), the nurse called the attending physician three times to report hypotension and ongoing bleeding … The commentary discusses appropriate management of ongoing intraoperative and postoperative bleeding
-
psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
January 01, 2021 - Findings that suggest a need for immediate or urgent intervention include
ectopic pregnancy, intracranial hemorrhage
-
psnet.ahrq.gov/node/49398/psn-pdf
May 01, 2003 - Patient #1 was in the trauma bay with massive injuries and profuse bleeding. … Paradoxically, health care workers have shown lower rates of gown
utilization in resuscitations involving bleeding … (operating rooms and invasive
radiology suites), it is higher in trauma situations especially when hemorrhage
-
psnet.ahrq.gov/issue/how-i-minimize-mistransfusion-risk-my-hospital
July 22, 2015 - November 17, 2021
The postpartum hemorrhage patient safety bundle implementation at a … WebM&M Cases
Transfusion Thresholds in Gastrointestinal Bleeding
-
psnet.ahrq.gov/web-mm/missed-tb
March 03, 2010 - Abscess Legionella, Mycoplasma, Chlamydia (depending on initial antibiotic choice) Pulmonary hemorrhage
-
psnet.ahrq.gov/node/60362/psn-pdf
April 13, 2018 - being
implemented in the state include bundles for hypertensive emergency in pregnancy,
postpartum hemorrhage … Of the 39 delivering hospitals, all hospitals have >60% completion of
the postpartum hemorrhage bundle