-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
December 01, 2017 - Patient outcomes, including patient care experience,
· Infection rates and sepsis rates,
· Post-op hemorrhage
-
www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
December 01, 2017 - Post-op hemorrhage.
Respiratory failure.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
January 01, 2022 - vaginal birth
Eclampsia
Fetal death after admission: related to labor and
delivery and not expected
Hemorrhage … to labor and delivery and not
expected
Seizures
Severe hyperbilirubinemia
Subdural or cerebral hemorrhage
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
January 01, 2022 - vaginal birth
Eclampsia
Fetal death after admission: related to labor and
delivery and not expected
Hemorrhage … to labor and delivery and not
expected
Seizures
Severe hyperbilirubinemia
Subdural or cerebral hemorrhage
-
www.ahrq.gov/sites/default/files/2024-01/fernandez-report.pdf
January 01, 2024 - An in situ standardized patient-based
simulation to train postpartum hemorrhage and team skills on a
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa4.pdf
January 01, 2018 - professional about eating fewer
high-fat or high-cholesterol foods
9.9 2.23 MEPS 2016
Postoperative hemorrhage … during hospitalization, adults ages 18-89 or obstetric admissions
2.7 1.31 HCUP 2016
Postoperative hemorrhage … Adults age 65 and over who ever received pneumococcal vaccination 1.4 0.25 NHIS 2017
Postoperative hemorrhage
-
www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
May 01, 2016 - clinician input, the grantee identified four obstetric clinical events—shoulder dystocia,
postpartum hemorrhage … section, White women rather than Black women,
and drug overdose played a greater role in deaths than hemorrhage
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-fullreport.pdf
January 01, 2019 - /sepsis (14.0 percent), non-cardiovascular diseases (11.9
percent), cardiomyopathy (11.8 percent), hemorrhage … Postpartum hemorrhage: The role of the maternal–fetal medicine
specialist in enhancing quality and patient
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - clinician input, the grantee identified four obstetric clinical events—shoulder dystocia,
postpartum hemorrhage … section, White women rather than Black women,
and drug overdose played a greater role in deaths than hemorrhage
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
January 01, 2005 - finding, 5 (1%) missed by poor fine-needle
biopsy
Kawalski RG
(2004)
Aneurysmal
subarachnoid
hemorrhage … Diagnosis error case vignettes
Case 1
A 25-year-old woman presents with crampy abdominal pain, vaginal bleeding … Initial
misdiagnosis and outcome after subarachnoid
hemorrhage. JAMA 2004;291:866–9.
23.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
January 29, 2008 - Postoperative hemorrhage or hematoma
10. … Internal bleeding. New York, NY:
Rugged Land, LLC; 2004.
4.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-5.8.pdf
January 01, 2014 - medical
conditions (AMI, congestive heart failure,
obstructive airway disease,
gastrointestinal hemorrhage
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
March 01, 2020 - while
rivaroxaban had the
lowest risk for
prosthetic joint
infection hematoma,
incision and
discharge
hemorrhage … A combination of
major bleeding
and clinically
relevant
nonmajor
bleeding
occurred in 22
patients … Ten
patients (0.3%) had
bleeding events: five
with upper
gastrointestinal (GI)
bleeding, two with … lower GI bleeding,
and three with
genitourinary
bleeding. … All bleeding
events were in the
warfarin group.
-
www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
January 01, 2025 - B: Pneumonia 31
Stratum C: Sepsis 12
Stratum D: Shock or Cardiac Arrest 33
Stratum E: GI Hemorrhage
-
www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
January 01, 2024 - Operative nerve injury
Operative organ injury
Operative blood or lymph vessel injury or postoperative hemorrhage
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/healthyliving-slides.html
April 01, 2018 - Slide 41
Patient Safety: Birth Trauma
Cases included in birth trauma measure:
Hemorrhage … Cerebral hemorrhage at birth.
Spinal cord injury at birth.
Facial nerve injury at birth.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
January 01, 2003 - complications 424 426 423 443 480 2,196 2.75%
Urinary complications 160 225 193 218 292 1,088 1.36%
Hemorrhage
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
April 27, 2022 - Misdiagnosis of cerebellar
hemorrhage—features of ‘pseudo-gastroenteritis’ clinical presentations to
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
April 01, 2004 - The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization
87
The Brighton Collaboration: Creating a
Global Standard for Case Definitions
(and Guidelines) for Adverse Events
Following Immunization
Katrin S. Kohl, Jan Bonhoeffer, M…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0082-fullreport.pdf
March 01, 2016 - These problems range from less
common but potentially life-threatening problems, including hemorrhage … (severe
bleeding), blood clots, and bowel obstruction, to much more common concerns such as
longer-lasting