-
www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
January 01, 2024 - Despite these improvements, intraoperative
emergencies like cardiac arrest and massive hemorrhage do … to
simulated intraoperative crises (including air embolism, anaphylaxis, asystolic cardiac arrest,
hemorrhage … scenarios related to algorithms for advanced cardiac life support and preceded by a
precode condition (hemorrhage … followed by unstable bradycardia),
• other crisis scenarios (malignant hyperthermia, anaphylaxis, hemorrhage
-
www.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
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-118-fullreport.pdf
October 01, 2016 - neonatal mortality, but there is evidence (Miller, Lee, Gould, et al.,
2011) that intraventricular hemorrhage … continuous and not only a threshold manner, that consequential outcomes include death
and intraventricular hemorrhage … , and is highly consequential in terms
of critical outcomes, such as survival and intraventricular hemorrhage … neonatal mortality, but there is evidence (Billimoria, Chawla, Bajaj, et al., 2013)
that intraventricular hemorrhage … variable and is highly consequential in terms of
critical outcomes like survival and intraventricular hemorrhage
-
www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
January 01, 2025 - The condition can exist in the absence of symptoms but is more likely to manifest as 1) vaginal
bleeding … Bleeding
and abdominal pain are the most frequent findings.
10
Abruption can have dire consequences … pressure lability that can ultimately
lead to one or more severe end states, including a cerebrovascular hemorrhage … during the active 1st stage of labor, when the epidural
anesthetic is administered, and during the hemorrhage
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions4.html
June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
OR-to-ICU Transitions
Previous Page Next Page
Table of Contents
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
Introd…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3a_pdi_chartsforpresentations.pdf
January 01, 2006 - Statistically Significant Difference 0
PDI 07 RACHS-1 Pediatric Heart Surgery Volume 0
PDI 08 Perioperative Hemorrhage
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - Noncardiac Surgeries
MPSMS Postoperative Pneumonia
PSI Iatrogenic Pneumothorax (PSI 6)
PSI Post-Op Hemorrhage … Iatrogenic
Pneumothorax
7,372 18,948,556 5,472 25,363,956 4,852 25,536,803
PSI 9, Perioperative
Hemorrhage … PSI Iatrogenic
Pneumothorax
10,674 0.36 9,694 0.33 9,688 0.33 8,525 0.29
(PSI 6)
PSI Post-Op
Hemorrhage
-
www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - example from an obstetrics unit, staff received standardized education on the prevention of post-partum hemorrhages … teamwork components in the following examples from the video:
Using daily goals,
Post-partum hemorrhage
-
www.ahrq.gov/research/findings/final-reports/ptflow/section3.html
April 01, 2020 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Section 3. Measuring Emergency Department Performance
Previous Page Next Page
Table of Contents
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Acknowledgments
Execut…
-
www.ahrq.gov/sites/default/files/2025-03/prabhakaran-holl-report.pdf
January 01, 2025 - AIS with LVO,
and CSC-eligible stroke, defined as having either AIS LVO or intracerebral/subarachnoid hemorrhage
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-slides.html
March 01, 2017 - Postoperative hemorrhages.
Respiratory failure.
Patient injury.
Treatment errors.
-
www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
January 01, 2024 - but in which bleeding does not occur. … elderly hinges on the balance between
the decreased risk of thromboembolism and the increased risk of hemorrhage … corresponding to an International Normalized Ratio of 3.7-4.3)
resulted in an increased risk of intracranial hemorrhage … individuals in our study population also probably
impacted on the rates of thromboembolism and hemorrhage … Am J
Med 1989;87:153-159.
20.Hylek EM, Singer DE: Risk factors for intracranial hemorrhage in
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.html
March 01, 2017 - is linked to worse patient outcomes, including an increase in infection rates, sepsis, postoperative hemorrhage
-
www.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
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
December 01, 2013 - Peri- or intraventricular hemorrhage, periventricular leukomalacia, necrotizing enterocolitis, retinopathy … Large granulomas may cause bleeding, aphonia, and accidental decannulation. … Bleeding:
Tip of tube may irritate tracheal wall, causing irritation, inflammation, and ulceration … Anterior wall erosion can invade innominate artery, causing catastrophic hemorrhage. … Bleeding (28%).
Pain (65%).
Requiring silver nitrate (56%).
Broken or leaky tube (56%).
-
www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
December 01, 2013 - Peri- or intraventricular hemorrhage, periventricular leukomalacia, necrotizing enterocolitis, retinopathy … Large granulomas may cause bleeding, aphonia, and accidental decannulation. … Bleeding:
Tip of tube may irritate tracheal wall, causing irritation, inflammation, and ulceration … Anterior wall erosion can invade innominate artery, causing catastrophic hemorrhage. … Bleeding (28%).
Pain (65%).
Requiring silver nitrate (56%).
Broken or leaky tube (56%).
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/perinatal-care-experience-slides.pdf
March 06, 2025 - care;
Outcomes • Maternal mortality
• Severe maternal morbidity (eg, cesarean delivery, postpartum hemorrhage … Blood Pressure/Seizures
Embolism
Heart Muscle Disease
Infection
Other Heart Conditions
Severe Bleeding
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-facguide.docx
January 01, 2017 - is linked to worse patient outcomes, including an increase in infection rates, sepsis, postoperative hemorrhage
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3a_pdi_chartsforpresentations.xlsx
January 01, 2006 - Significant Difference 0
PDI 07 RACHS-1 Pediatric Heart Surgery Volume 0
PDI 08 Perioperative Hemorrhage
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a2_pdi_boardpresentation.pptx
October 01, 2015 - Pediatric Heart Surgery Mortality Rate
PDI 07 RACHS-1 Pediatric Heart Surgery Volume
PDI 08 Perioperative Hemorrhage