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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
July 01, 2023 - She had an uncomplicated vaginal
delivery an hour ago and is now having brisk vaginal bleeding. … Williams, we are in the
process of stabilizing your
unanticipated bleeding and
Dr. … I’ve observed more bleeding
than expected. Dr. … I’ve observed more bleeding than expected. Dr. … bleeding, tachycardia, and
low blood pressure.
36
Dr.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
July 01, 2023 - Williams is an
actively bleeding patient with many known risk factors for postpartum hemorrhage. … For instance, the
postpartum hemorrhage cart. … Obstetric Hemorrhage Huddle
Obstetric Hemorrhage Huddle
Obstetric Hemorrhage Huddle
Obstetric … Hemorrhage Huddle
Obstetric Hemorrhage Huddle
Debrief
Debriefing at a Minimum
Some Teamwork … Debrief
Obstetric Hemorrhage Debrief
Obstetric Hemorrhage Debrief
Obstetric Hemorrhage Debrief
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
July 01, 2023 - Williams is bleeding. … Williams, is bleeding. We enter the scene just as Tanya has reached Dr.
Sonentag. … Williams is still having vaginal
bleeding, her blood pressure has
dropped to 102/56, and she is … Williams’ symptoms of
postpartum hemorrhage and
ongoing bleeding rather
quickly. … Williams’ symptoms of postpartum
hemorrhage and ongoing bleeding rather quickly.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
July 01, 2023 - Williams, we are in the process of stabilizing your unanticipated bleeding, and Dr. … I’ve observed more bleeding than expected. Dr. … I’ve observed more bleeding than expected. Dr. … bleeding, tachycardia, and low blood pressure.
36
Assessment
Dr. … bleeding, tachycardia, and low blood pressure.”
36
Obstetric Hemorrhage
SBAR
I think we should repeat
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
July 01, 2023 - Williams is bleeding. … Williams, is bleeding. We enter the scene just as Tanya has reached Dr. Sonentag. … Williams’ symptoms of postpartum hemorrhage and ongoing bleeding rather quickly. … Williams’ symptoms of postpartum hemorrhage and ongoing bleeding rather quickly. … Sonentag should “evaluate the patient immediately, possibly determining if indeed the vaginal bleeding
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring.pptx
July 01, 2023 - Hemorrhage
Module 4 of 8
SPPC-II
Toolkit
AHRQ Pub. … Williams’ hemorrhage and need to escalate care. Dr. … Williams is an actively bleeding patient with many known risk factors for postpartum hemorrhage. … , she developed uterine atony with postpartum hemorrhage.”
31
Obstetric Hemorrhage
Debrief
The things … For instance, the postpartum hemorrhage cart.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction-speaker-notes.pdf
July 01, 2023 - improvement are: establishing a culture of huddles and
debriefs, multidisciplinary review of serious hemorrhages … Williams, I was able to control the
bleeding, and your uterus feels firm with
minimal bleeding… which … Once the uterine bleeding is controlled,
Dr. … Williams is bleeding
heavily. Will you please notify Dr. … Your bleeding is slowing
down.
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-obhemorrhage.html
July 01, 2023 - diastolic blood pressure, pain, use of analgesia, and number of women returning to hospital due to bleeding … One scenario is an antepartum hemorrhage, and the other is a postpartum hemorrhage. … Because only 5 to 10 percent of obstetric hemorrhages occur in patients with risks for hemorrhages, 1 … Obstetric Hemorrhage. … OB Hemorrhage Toolkit V 2.0.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
May 01, 2017 - diastolic blood pressure, pain, use of analgesia, and number of women returning to hospital due to bleeding … One scenario is an antepartum hemorrhage, and the other is a postpartum hemorrhage. … Because only 5 to 10 percent of obstetric hemorrhages occur in patients with risks for hemorrhages,1 … Obstetric Hemorrhage. … OB Hemorrhage Toolkit V 2.0.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
July 01, 2023 - improvement are: establishing a culture of huddles and debriefs, multidisciplinary review of serious hemorrhages … Williams, I was able to control the bleeding, and your uterus feels firm with minimal bleeding…which … Once the uterine bleeding is controlled, Dr. … Williams is bleeding heavily. Will you please notify Dr. … Your bleeding is slowing down.
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-postpart-hemorrhage.html
July 01, 2023 - for an in situ simulation for postpartum hemorrhage. … Postpartum Hemorrhage Simulation Assessment Tool. … Team searches for potential etiology of bleeding.
Team quantitatively estimates blood loss. … Symptoms and bleeding should continue while the team attempts various measures to address. … Team searches for potential etiology of bleeding.
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-antepart-hemorrhage.html
July 01, 2023 - particular order):
Nurse assesses vital signs, uterine status, and fetal status and checks for bleeding … The facilitator should allow the patient to have pain and bleeding despite any and all diagnostic or … The facilitator should allow patient to continue bleeding despite any and all diagnostic or therapeutic … Trigger 1: Vaginal Bleeding First Noted
Targeted Behavioral Response
Observed
Not Observed … Notes
Nurse assesses vital signs, uterine status, fetal status, and checks for bleeding.
-
www.ahrq.gov/hai/tools/perinatal-care/modules/posthemorrhage-video.html
May 01, 2017 - Video: Postpartum Hemorrhage—Toolkit for Improving Perinatal Safety
AHRQ Safety Program for … Research and Quality's Toolkit for Improving Perinatal Safety, presents a hypothetical case of postpartum hemorrhage … Postpartum Hemorrhage—Toolkit for Improving Perinatal Safety [9m, 20s]
YouTube embedded video: https
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/clinical-case-scenarios.html
July 01, 2023 - One scenario focuses on obstetric hemorrhage, and the other scenario focuses on severe hypertension in … Obstetric Hemorrhage Clinical Case Scenarios (PowerPoint, 5.5 MB)
Severe Hypertension Clinical Case … for Obstetric Hemorrhage (23 minutes)
Module 2: Call-Out & Check-Back in Obstetric Hemorrhage … Obstetric Hemorrhage (11 minutes, 41 seconds)
Module 7: Debriefs in Obstetric Hemorrhage (18 minutes … Hemorrhage
Introduction to the SPPC-II Teamwork Toolkit for Obstetric Hemorrhage (PowerPoint [5.3
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction.pptx
July 01, 2023 - Introduction to the SPPC-II Teamwork Toolkit for Obstetric Hemorrhage - PowerPoint Presentation
Introduction … Toolkit Purpose
Connects to AIM Patient Safety Bundle concepts via the 4 Rs
Also available for Obstetric Hemorrhage … A similar toolkit is available for AIM’s Obstetric Hemorrhage Patient Safety Bundle.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_postpart-hemorrhage.docx
May 01, 2017 - Sample Scenario for Postpartum Hemorrhage In Situ Simulation
Purpose of the tool: The Postpartum Hemorrhage … Symptoms and bleeding should continue while the team attempts various measures to address. … Symptoms and bleeding should continue while the team attempts various measures to address. … Symptoms and bleeding should continue while the team attempts various measures to address. … Team searches for potential etiology of bleeding.
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.html
July 01, 2023 - Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage
AHRQ Safety Program for … The new tools are designed to help L&D units reduce obstetric hemorrhage and severe hypertension in pregnancy … Toolkit Background
What Are the Hemorrhage and Hypertension Toolkits? … Top of Page
What Are the Hemorrhage and Hypertension Toolkits? … There are two Safety Program for Perinatal Care, Phase 2 (SPPC-II) Teamwork Toolkits: Hemorrhage and
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_antepart-hemorrhage.docx
May 01, 2017 - Sample Scenario for Antepartum Hemorrhage In Situ Simulation
Purpose of the tool: The Antepartum Hemorrhage … The facilitator should allow the patient to have pain and bleeding despite any and all diagnostic or … The facilitator should allow patient to continue bleeding despite any and all diagnostic or therapeutic … Trigger 1: Vaginal Bleeding First Noted
Targeted Behavioral Response
Observed
Not Observed
Notes … Nurse assesses vital signs, uterine status, fetal status, and checks for bleeding.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
July 01, 2023 - bleeding, tachycardia, and low blood pressure.”
32
Obstetric Hemorrhage
SBAR
I think we should repeat … Williams is bleeding. … Williams is an actively bleeding patient with many known risk factors for postpartum hemorrhage. … Williams’ symptoms of postpartum hemorrhage and ongoing bleeding rather quickly. … Williams’ symptoms of postpartum hemorrhage and ongoing bleeding rather quickly.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-tables1-5.pdf
June 02, 2025 - 800.2
Closed with other and unspecified intracranial
hemorrhage
800.3
Closed with intracranial … 800.7
Open with other and unspecified intracranial
hemorrhage
800.8
Open with intracranial … post
injury
852.x
Other/unspecified intracranial hemorrhage following
injury
853.x
Intracranial … injury of other and unspecified nature 854.x
Subarachnoid hemorrhage 430
Intracerebral hemorrhage … 431
Other and unspecified intracranial hemorrhage 432.x
Child abuse and neglect 995.5x
Observation