-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
June 02, 2025 - Postoperative
Hip Fracture 0.0 0.0 3 $147,947 $ 443,841 N 3 3 1 Y Y Y Y Y
PSI 9 Perioperative
Hemorrhage … Stroke
Mortality
8.9 10.9 42 $35,000 $ 1,470,000 N 2 3 3 Y Y Y Y Y
IQI 18
Gastrointestinal
Hemorrhage … Pediatric Heart
Surgery Volume
54 $ - N 1 5 5 Y N Y Y N
PDI 08 Perioperative
Hemorrhage
-
psnet.ahrq.gov/issue/supporting-second-victims
February 15, 2023 - January 15, 2020
Proactive prevention of maternal death from maternal hemorrhage.
-
psnet.ahrq.gov/issue/supporting-safe-equitable-care-during-covid-19-pandemic
March 02, 2022 - January 15, 2020
Proactive prevention of maternal death from maternal hemorrhage.
-
psnet.ahrq.gov/issue/addressing-intimate-partner-violence-and-helping-protect-patients
February 15, 2023 - January 15, 2020
Proactive prevention of maternal death from maternal hemorrhage.
-
effectivehealthcare.ahrq.gov/sites/default/files/s23.pdf
October 01, 2007 - frequencies; for example as
“82 (5.9%) rt-PA patients and 15 (1.1%) in controls” expe-
rienced serious hemorrhage … From the given information, one can discuss the
harms as 48 additional serious hemorrhages per 1000 patients … number needed to harm can be
calculated as 21 (100%/(5.9–1.1%), which means that 1
additional serious hemorrhage … and
gastrointestinal bleeding is reported with significantly more
events in patients who received Aggrenox … The
frequency data also shows approximately 4 additional severe
or fatal bleeding episodes with Aggrenox
-
cds.ahrq.gov/sites/default/files/cds/artifact/1146/Warfarin%20and%20SSRIs%20Graph%20V.%205.pdf
May 18, 2020 - Warfarin
Type of
Antidepressant
Assess risk and
take action if
necessary
Increased GI and
non-GI bleeding … risk is possible
Assess risk and
take action if
necessary
Increased GI and
non-GI bleeding … risk is possible
No special
precautions
Increased
bleeding risk
unlikely
And
SNRIs: … antagonists
- Anti-platelet medications
Does patient have
one or more risk
factors for major
bleeding … No Yes
Use only if
benefit
outweighs risk
Increased GI and
non-GI bleeding
risk is likely
-
psnet.ahrq.gov/issue/pc-standards-maternal-safety
September 06, 2017 - admission and role-specific education for staff and providers who treat maternal patients regarding hemorrhage
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/4fdC2JLwP_um_yZe4WZRaa
April 01, 2009 - Harms from aspirin include the risks of serious upper GI bleeding and hemorrhagic
stroke. … An individual’s risk for GI bleeding from aspirin increases with age:
How often should you
assess net … Taking a higher dose is no
more effective and is associated with a
higher risk of bleeding. … Concomitant NSAID or anticoagulant
therapy increases the risk of GI bleeding. … Prior GI ulcer, GI bleeding, or GI pain also increases
risk by a factor of 2–3.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.pdf
June 02, 2025 - Pediatric Heart Surgery
Volume
54 $ - N 1 5 5 Y N Y Y N
PDI 08 Perioperative
Hemorrhage
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/aspirin-nsaids-for-prevention-of-colorectal-cancer-preventive-medication-2007
March 15, 2007 - Aspirin increases the incidence of gastrointestinal bleeding and hemorrhagic stroke; NSAIDs increase … the incidence of gastrointestinal bleeding and renal impairment, especially in the elderly. … aspirin and NSAID use: There is good evidence that aspirin increases the incidence of gastrointestinal bleeding … There is good evidence that NSAIDs increase the incidence of gastrointestinal bleeding and renal impairment … which are good-quality studies, found an OR of 5.36 (CI, 1.79 to 16.1) for perforations, ulcers, and bleeding
-
hcup-us.ahrq.gov/reports/statbriefs/sb113.pdf
January 01, 2020 - maternal and infant health, and are associated with
various adverse outcomes, including miscarriage,
hemorrhage … stays)
ectopic pregnancy (56 per 1,000 stays)
advanced maternal age (56 per 1,000 stays)
hemorrhage … to pregnancy 404,400 853.7 27.1 2,429,000 614.9 27.6
Ectopic pregnancy 26,700 56.3 29.0
Hemorrhage … Placenta previa 22,100 5.6 31.0
Abruptio placenta 44,500 11.3 27.8
Other hemorrhage … puerperium
affecting management of mother
157,400 332.3 28.8 1,828,300 462.8 29.0
Postpartum hemorrhage
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/aspirin-to-prevent-cardiovascular-disease-and-cancer-april-2016
April 11, 2016 - risk (for example, history of GI ulcers, recent bleeding, or use of medications that increase bleeding … The risk for GI bleeding may increase with the dosage. … for GI or intracranial bleeding. … Meanwhile, bleeding harms may occur in the short term. … risk or enhance the bleeding effect of aspirin.
-
psnet.ahrq.gov/issue/drug-diversion-and-impaired-health-care-workers
July 31, 2019 - January 15, 2020
Proactive prevention of maternal death from maternal hemorrhage.
-
psnet.ahrq.gov/issue/eliminating-vincristine-administration-events
February 15, 2023 - February 15, 2023
Proactive prevention of maternal death from maternal hemorrhage.
-
psnet.ahrq.gov/issue/improving-diagnosis-and-treatment-maternal-sepsis
September 22, 2021 - Related Resources
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage
-
psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results
November 13, 2019 - Resources From the Same Author(s)
Proactive prevention of maternal death from maternal hemorrhage
-
psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
July 17, 2024 - Related Resources
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage
-
psnet.ahrq.gov/issue/assessing-excess-costs-hospital-adverse-events-covered-ahrqs-patient-safety-indicators
January 10, 2024 - The most common PSI was postoperative hemorrhage/hematoma (27.6%) and the highest cost by case was postoperative
-
psnet.ahrq.gov/issue/compliance-patient-safety-bundle-management-placenta-accreta-spectrum
October 19, 2022 - Placenta accreta spectrum (PAS) is a maternal complication that can result in life-threatening hemorrhage
-
psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
March 23, 2022 - identified a shift from deaths occurring during the early phase of care (e.g., failed resuscitation and hemorrhage