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psnet.ahrq.gov/periodic-issue/periodic-issue-428
February 28, 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/primer/failure-rescue
September 15, 2024 - patients with very high-risk surgery (e.g., trauma or burn surgery, organ transplants, intracranial hemorrhage
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psnet.ahrq.gov/web-mm/dissecting-presentation
May 05, 2021 - The patient was diagnosed with a transient ischemic attack and possible gastrointestinal bleeding, and … flow leading to all of her symptoms, including the transient ischemic attack, the gastrointestinal bleeding … In this case, transient ischemic attack, gastrointestinal bleeding, and acute renal failure may seem … Since the patient did not have a known history of TIA nor was she on aspirin to account for her GI bleeding … laryngeal nerve (hoarseness), sympathetic chain (Horner syndrome) Respiratory complications such as lung hemorrhage
-
psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - However, she suffered from ischemic stroke and intracranial hemorrhages, ultimately leading to a transition
-
psnet.ahrq.gov/node/49786/psn-pdf
March 01, 2017 - A computed tomography scan of the head revealed a
large intraparenchymal hemorrhage with midline shift … One study found that major bleeding developed in 61 of
1011 patients (6%) started on anticoagulant therapy … before hospital discharge.(17) The risk of bleeding is
greater in a population of patients, like the … A bleeding risk index for estimating the probability of
major bleeding in hospitalized patient starting … Risk of bleeding with single, dual, or triple therapy with
warfarin, aspirin, and clopidogrel in patients
-
psnet.ahrq.gov/periodic-issue/periodic-issue-407
September 27, 2023 - consider specific intraoperative blood conservation techniques in children, failure to recognize massive hemorrhage
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psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
November 01, 2003 - numerous and include accidental trauma to non-venous structures (arteries, lung, nerve, visceral organs); bleeding … (hematoma, hemothorax, or hemorrhage); operator injury (needle stick or splash); and catheter-related … September 1, 2012
WebM&M Cases
Undiagnosed Vaginal Bleeding
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
May 01, 2017 - Unfortunately, the surgery was complicated and he had massive intraoperative bleeding.
-
psnet.ahrq.gov/node/49861/psn-pdf
May 01, 2019 - deterioration in patients with submassive
PE, it is associated with an unacceptable rate of major bleeding … , and in particular, intracranial hemorrhage.(
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov … reduce PE thrombus burden (and
associated right heart dysfunction) without increasing the risk of bleeding … associated with an increase in the
use of thrombolysis or thrombectomy (without an apparent increase in bleeding
-
psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
October 19, 2022 - October 19, 2022
Improving hospital systems for the care of women with major obstetric hemorrhage
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psnet.ahrq.gov/node/73434/psn-pdf
June 30, 2021 - immediate or urgent intervention (as per ACR
guidelines) include:
Ectopic pregnancy
Intracranial hemorrhage
-
psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - immediate or urgent intervention (as per ACR guidelines) include:
Ectopic pregnancy
Intracranial hemorrhage
-
psnet.ahrq.gov/node/49476/psn-pdf
March 02, 2005 - Around the Block
March 1, 2005
Minichiello T. Around the Block. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/around-block
The Case
A 77-year-old woman with multiple medical problems was admitted to the hospital for an elective knee
replacement. The orthopedic surgeon, recognizing the risk of deep vein th…
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - Computed tomography (CT) of the head revealed a right thalamic hemorrhage. … can lead to nasal alar ulceration or necrosis, chronic gastric irritation leading to gastrointestinal bleeding
-
psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
April 01, 2015 - Population-based studies demonstrate that while elective colonoscopy is quite safe, the risk of postcolonoscopy bleeding … Bleeding and perforation after outpatient colonoscopy and their risk factors in usual clinical practice … WebM&M Cases
Transfusion Thresholds in Gastrointestinal Bleeding … WebM&M Cases
Don't Dismiss the Dangerous: Obstetric Hemorrhage
-
psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - discharge codes for potential complications of
care (e.g., cardiac arrest, blood clot, gastrointestinal
hemorrhage
-
psnet.ahrq.gov/node/49760/psn-pdf
May 01, 2016 - other drugs)
Acute neurological diseases (e.g., acute stroke [usually right parietal], intracranial hemorrhage
-
psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
December 02, 2020 - clinical deterioration in patients with submassive PE, it is associated with an unacceptable rate of major bleeding … , and in particular, intracranial hemorrhage.( 11 ) The decision to use systemic thrombolytics is difficult … will reduce PE thrombus burden (and associated right heart dysfunction) without increasing the risk of bleeding … associated with an increase in the use of thrombolysis or thrombectomy (without an apparent increase in bleeding
-
psnet.ahrq.gov/node/836892/psn-pdf
April 07, 2022 - overdose; major electrolyte disturbances, including diabetic ketoacidosis; gastrointestinal tract
bleeding … equaling roughly 220 lives saved per year.5
A smaller study of patients with upper gastrointestinal bleeding … outcomes associated with EC3, including, but not
limited to, fewer patients with intracerebral brain hemorrhage … intensive care unit is
associated with decreased hospital length of stay for upper gastrointestinal bleeding
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.329_slideshow.ppt
August 01, 2014 - PowerPoint Presentation
Spotlight
Pitfalls in Diagnosing Necrotizing Fasciitis
This presentation is based on the July/August 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Terence Goh, MBBS, Department of Plastic Surgery, Singapore General Hos…