-
www.ahrq.gov/patient-safety/reports/liability/baker.html
August 01, 2017 - The final, selected events were: Shoulder Dystocia, Post-Partum Hemorrhage, Intra‑Partum Fetal Death … Pregnant
Experienced a Medical Mistake
Works in Health Care
Unplanned Return to OR or L&D for Bleeding … Experienced a Medical Mistake
Completed TeamSTEPPS Training
Unplanned Return to OR or L&D for Bleeding … Pre-Hospital
Shoulder Dystocia
0.91
Post-Partum Hemorrhage
0.91
0.84 … Event type (e.g., Shoulder Dystocia, Post-Partum Hemorrhage) mattered least during the Delivery phase
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - toolkit to
develop their approach to hemorrhage reduction. … Our goal is to decrease our incidence
of hemorrhage by 50 percent.” … really, with, what is the definition of hemorrhage? … only blood loss after delivery was quantified, which
resulted in an underestimation of the number of hemorrhages … Targeting Obstetric Hemorrhage Care
The team chose to target obstetric hemorrhage care practices because
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - toolkit to develop their
approach to hemorrhage reduction. … Our goal is to decrease our incidence of hemorrhage by
50 percent.” … really,
with, what is the definition of hemorrhage? … only
blood loss after delivery was quantified, which resulted in
an underestimation of the number of hemorrhages … Targeting Obstetric Hemorrhage Care
The team chose to target obstetric hemorrhage care
practices because
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - toolkit to develop their
approach to hemorrhage reduction. … Our goal is to decrease our incidence of hemorrhage by
50 percent.” … really,
with, what is the definition of hemorrhage? … only
blood loss after delivery was quantified, which resulted in
an underestimation of the number of hemorrhages … Targeting Obstetric Hemorrhage Care
The team chose to target obstetric hemorrhage care
practices because
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation.pptx
May 01, 2017 - In: CMQCC Obstetric Hemorrhage Toolkit: Obstetric Hemorrhage Care Guidelines and Compendium of Best Practices … Postpartum Hemorrhage: Resources. https://www.perinatalweb.org/major-initiatives/postpartum-hemorrhage … OB Hemorrhage Toolkit V 2.0. … Released March 2015. https://www.cmqcc.org/resources-tool-kits/toolkits/ob-hemorrhage-toolkit. … ACOG Simulations Consortium Learning Objectives: Postpartum Hemorrhage Caused by Uterine Atony. n.d.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-section-2.pdf
January 01, 2016 - was obtained in the absence of
documented neurologic signs or symptoms that suggest intracranial hemorrhage … was obtained in the absence of documented neurologic signs or symptoms that suggest
intracranial hemorrhage … 4329 I629 Nontraumatic intracranial hemorrhage, unspecified
Other and unspecified intracranial
hemorrhage … 4321 I6200 Nontraumatic subdural hemorrhage, unspecified
Other and unspecified intracranial
hemorrhage … 4320 I621 Nontraumatic extradural hemorrhage
Personal history of other certain diseases
– TIA and
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ.html
July 01, 2023 - Video: In Situ Simulations Training for Labor and Delivery Units
Simulation Scenarios:
Postpartum hemorrhage … Word , 751 KB; Text Version )
Umbilical cord prolapse ( Word , 748 KB; Text Version )
Antepartum hemorrhage
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-tables1-10.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
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-tables1-9.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 injury … 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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
June 02, 2025 - Catheter-Related Bloodstream Infections
PSI 08 Postoperative Hip Fracture
PSI 09 Perioperative Hemorrhage … Mortality
IQI 16 Heart Failure Mortality
IQI 17 Acute Stroke Mortality
IQI 18 Gastrointestinal Hemorrhage … Heart Surgery Mortality Rate
PDI 07 RACHS-1 Pediatric Heart Surgery Volume
PDI 08 Perioperative Hemorrhage
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0134-technicalspecs.pdf
January 01, 2011 - 642.01 Threatened abortion delivered
642.03 Threatened abortion antepartum
640.80 Other specified hemorrhage … in early
pregnancy unspecified as to episode of care
640.81 Other specified hemorrhage in early
pregnancy … delivered
640.83 Other specified hemorrhage in early
pregnancy antepartum
640.90 Unspecified hemorrhage … in early pregnancy
unspecified as to episode of care
640.91 Unspecified hemorrhage in early pregnancy … delivered
640.93 Unspecified hemorrhage in early pregnancy
antepartum
183 10m Hypertension complicating
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-1-tables-6-10.pdf
June 02, 2025 - V10.85
Sickle cell disease 282.6
Pancytopenia 284.1
Coagulation defects 286.x
Purpura and other hemorrhage … Thrombocytopenia, unspecified 287.5
Other specified hemorrhagic
conditions
287.8
Unspecified hemorrhage … Other venous embolism/thrombosis
unspecified site
753.9
Other and unspecified intracranial
hemorrhage
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-1-tables-1-5.pdf
June 02, 2025 - 800.2
Closed with other and unspecified intracranial hemorrhage 800.3
Closed with intracranial injury … 800.7
Open with other and unspecified intracranial hemorrhage 800.8
Open with intracranial injury … 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
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
March 01, 2020 - ) OR (AB Bleeding
OR Hemorrhage OR Haemorrhage))
AND
((MH "Patient Safety") OR (AB
"Patient Safety … ) OR (AB Bleeding
OR Hemorrhage OR Haemorrhage))
AND
((MH "Patient Safety" OR "Safety
Management … ) OR (AB Bleeding
OR Hemorrhage OR Haemorrhage))
AND
((MH "Patient Safety") OR (AB
"Patient Safety … Bleeding
OR Hemorrhage OR Haemorrhage))
AND
((MH "Patient Safety" OR MH
"Safety
Management" … ) OR (AB Bleeding
OR Hemorrhage OR Haemorrhage))
AND
((MH "Patient Safety") OR (AB
"Patient Safety
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - to integrate
teamwork and provider communication aspects with the AIM patient safety
bundles for hemorrhage … Over time, the contribution of traditional causes of maternal mortality represented
by hemorrhage, hypertensive … However, it has been shown that
preventable deaths are those contributed by conditions like hemorrhage … during the same time period 1993‐2014
Overall, this shows the important contribution of obstetric hemorrhage … The SMM metric, overall and bundle‐specific, for example SMM among women with
hemorrhage or SMM women
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - to integrate
teamwork and provider communication aspects with the AIM patient safety
bundles for hemorrhage … Over time, the contribution of traditional causes of maternal mortality represented
by hemorrhage, hypertensive … However, it has been shown that
preventable deaths are those contributed by conditions like hemorrhage … Overall, this shows the important contribution of obstetric hemorrhage to SMM
in the United States. … The SMM metric, overall and bundle‐specific, for example SMM among women with
hemorrhage or SMM women
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-1.html
September 01, 2021 - postpartum, and one-third after a week to a year postpartum. 4 The top causes of maternal death include hemorrhage … focuses on the maternal events that occur during childbirth and up to a week postpartum, with maternal hemorrhage
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.html
July 01, 2023 - Postpartum Hemorrhage
This video can help you think about how to incorporate CUSP principles into your … The specific event presented in the video is postpartum hemorrhage, but the CUSP techniques can be used
-
www.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.html
June 01, 2020 - Results included the reduced mortality rate of patients with atraumatic intracerebral hemorrhage (ICH … ) or subarachnoid hemorrhage (SAH) from 29 percent before intervention to 11 percent postintervention … A Closer Look at Inter-Hospital Transfer to YNHH for Atraumatic Intracranial Hemorrhage: Areas for Quality
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 02, 2025 - Catheter-Related Blood Stream Infection Rate
• PSI 08 Postoperative Hip Fracture Rate
• PSI 09 Perioperative Hemorrhage … Pneumothorax Rate
• PDI 06 RACHS-1 Pediatric Heart Surgery Mortality Rate
• PDI 08 Perioperative Hemorrhage … pulmonary embolism/deep vein thrombosis (VTE), sepsis, shock/cardiac arrest, or
gastrointestinal hemorrhage