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talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies.html
July 01, 2023 - MB; Text Version )
Tool: Safe Cesarean Section ( Word , 1.4 MB; Text Version )
Tool: Obstetric Hemorrhage
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - 95,000 2.91 100,000 3.08
PSI Iatrogenic
Pneumothorax (PSI
6)
13,000 0.40 12,000 0.37
PSI Post-Op Hemorrhage
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talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - Bloodstream Infections PDF [150 KB] PSI08 Postoperative Hip Fracture PDF [126.7 KB] PSI09 Postoperative Hemorrhage … Iatrogenic Pneumothorax PDF [79.9 KB] PDI06 Pediatric Heart Surgery PDF [74.18 KB] PDI08 Perioperative Hemorrhage
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
October 01, 2015 - 31.55 0339 2012
PDI 07 RACHS-1 Pediatric Heart Surgery Volume N/A* 0340 2012
PDI 08 Perioperative Hemorrhage
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - fracture 0 0 0.001185 0.172 -100 0 0.6889534884 PSI 08 Statistically Lower 0
PSI 09 Perioperative hemorrhage … 0 0 0.0601213 83.392 -100 0 0.0720948053 IQI 17 Significantly Lower *
IQI 18 Gastrointestinal (GI) hemorrhage … Significant Difference 0
PDI 07 RACHS-1 Pediatric Heart Surgery Volume 0
PDI 08 Perioperative Hemorrhage
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1a_combo_iqifactsheet.pdf
October 01, 2015 - Mortality Rate 30.68 0358 2012
IQI 17 Acute Stroke Mortality Rate 82.53 0467 2012
IQI 18 Gastrointestinal Hemorrhage
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talkingquality.ahrq.gov/news/blog/ahrqviews/digital-healthcare-research-program.html
September 01, 2023 - which cardiac disease patients are most at risk for suffering dangerous complications, such as sepsis, hemorrhage
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
May 01, 2017 - communicating a sense of urgency when requesting other unit personnel and provider for help responding to a hemorrhage … communicating changes in maternal or fetal status,
· when giving and receiving new orders to manage the hemorrhage
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
September 01, 2014 - Noncardiac Surgeries
MPSMS Postoperative Pneumonia
PSI Iatrogenic Pneumothorax (PSI 6)
PSI Post-Op Hemorrhage … Pneumonia 96,896 32,750,000 2.959
PSI Iatrogenic Pneumothorax (PSI 6) 13,490 32,750,000 0.412
PSI Post-Op Hemorrhage
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talkingquality.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - 100,000
3.08
PSI
Iatrogenic Pneumothorax (PSI 6)
13,000
0.40
12,000
0.37
PSI
Post-Op Hemorrhage
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talkingquality.ahrq.gov/news/newsroom/case-studies/201906.html
November 01, 2019 - OB hemorrhage task force.
Designation of OB clinical risk manager.
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talkingquality.ahrq.gov/research/publications/search.html?page=1
September 01, 2022 - focuses on the maternal events that occur during childbirth and up to a week postpartum, with maternal hemorrhage
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talkingquality.ahrq.gov/news/blog/ahrqviews/womens-health-week-2023.html
May 01, 2023 - health, including rising rates of severe maternal morbidity, eclampsia/preeclampsia, severe postpartum hemorrhage
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talkingquality.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - Surgeries
MPSMS
Postoperative Pneumonia
PSI
Iatrogenic Pneumothorax (PSI 6)
PSI
Post-Op Hemorrhage … 32,750,000
2.959
PSI
Iatrogenic Pneumothorax (PSI 6)
13,490
32,750,000
0.412
PSI
Post-Op Hemorrhage
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talkingquality.ahrq.gov/funding/grantee-profiles/grtprofile-halamek.html
August 01, 2023 - of the umbilical cord has been shown to decrease rates of iron deficiency anemia, intraventricular hemorrhage … (bleeding inside or around the brain), and blood transfusion.
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
March 18, 2014 - The baby dies from ventricular
hemorrhage caused by trauma. … for: L&D
Setting: Hospital
Denise Whitaker, a 36-year-old G2 P1 with a history of a postpartum hemorrhage … Carol McCarthy, a 32-year-old Gravida 4 Para 2 patient is admitted to labor and delivery with
vaginal bleeding … An exploratory
laparotomy reveals massive intra-abdominal hemorrhage requiring a hysterectomy and blood … The placenta does not detach, the uterus fails to
contract, and massive hemorrhage ensues.
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talkingquality.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.
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talkingquality.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.
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talkingquality.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
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talkingquality.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