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psnet.ahrq.gov/issue/ahrq-safety-program-end-stage-renal-disease-facilities-toolkit
December 24, 2008 - May 29, 2024
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage.
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psnet.ahrq.gov/issue/keeping-patients-track-preventative-care-during-pandemic
April 11, 2018 - January 15, 2020
Proactive prevention of maternal death from maternal hemorrhage.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/sim-tool-guidance.html
July 01, 2023 - The nine available sample scenarios are as follows:
Postpartum hemorrhage. … Antepartum hemorrhage.
Preeclampsia/seizure.
Severe abdominal pain/VBAC.
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psnet.ahrq.gov/issue/developing-medical-emergency-team-running-sheet-improve-clinical-handoff-and-documentation
June 26, 2024 - January 5, 2017
Using an MET service to manage hemorrhage post-percutaneous liver biopsy
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hcup-us.ahrq.gov/reports/methods/2012-02.pdf
January 01, 2012 - In addition, birth trauma (PSI 17) is not
reported prior to 2004, and QIs for postoperative hemorrhage … unknown disposition; and neonates with a birth weight less than 500
grams)
PDI 08 Postoperative hemorrhage … PSI 9 Postoperative hemorrhage or hematoma with surgical drainage or evacuation, not verifiable as
following … , or gastrointestinal
hemorrhage. … PSI 27 Postoperative hemorrhage or hematoma with surgical drainage or evacuation, not verifiable as
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-retention.pdf
April 01, 2022 - alternatives and guideline development in high-acuity populations (e.g., aneurysmal
subarachnoid hemorrhage … [aSAH] or intraventricular hemorrhage [IVH] patients)
2
AHRQ Safety Program
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psnet.ahrq.gov/issue/use-maternal-early-warning-trigger-tool-reduces-maternal-morbidity
September 27, 2017 - The tool was pathway specific and targeted the four most common causes of maternal morbidity: hemorrhage … Insidious Postpartum Bleeding After Emergency Cesarean Delivery.
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psnet.ahrq.gov/issue/simulation-based-trial-surgical-crisis-checklists
July 25, 2011 - evaluated their usefulness in surgical crises , such as operating room cardiac arrests and massive hemorrhage
-
psnet.ahrq.gov/issue/busy-day-effect-perinatal-complications-delivery-weekends-retrospective-cohort-study
January 16, 2019 - perinatal complications of childbirth, including low Apgar scores, neonatal seizures, and postpartum hemorrhage
-
www.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - 3.08
PSI
Iatrogenic Pneumothorax (PSI 6)
13,000
0.40
12,000
0.37
PSI
Post-Op Hemorrhage
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psnet.ahrq.gov/issue/reimagining-healthcare-teams-leveraging-patient-clinician-ai-triad-improve-diagnostic-safety
September 13, 2023 - December 12, 2023
Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage
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psnet.ahrq.gov/issue/examination-maternal-near-miss-experiences-hospital-setting-among-black-women-united-states
August 26, 2020 - September 8, 2021
Improving hospital systems for the care of women with major obstetric hemorrhage
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psnet.ahrq.gov/issue/do-panels-vary-when-assessing-intrapartum-adverse-events-reproducibility-assessments-hospital
July 07, 2021 - October 10, 2017
Improving hospital systems for the care of women with major obstetric hemorrhage
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psnet.ahrq.gov/issue/clinical-perspective-creating-effective-practice-peer-review-process-primer
November 16, 2022 - May 17, 2023
The postpartum hemorrhage patient safety bundle implementation at a single
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psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
March 11, 2020 - August 4, 2021
The postpartum hemorrhage patient safety bundle implementation at a single
-
psnet.ahrq.gov/issue/introduction-obstetric-specific-medical-emergency-team-obstetric-crises-implementation-and
October 19, 2022 - November 24, 2010
Improving hospital systems for the care of women with major obstetric hemorrhage
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-neurodevt.pdf
June 02, 2025 - ■ Peri- or intraventricular hemorrhage, periventricular leukomalacia, necrotizing enterocolitis,
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/MLeu_yFpPwzcZwKG6fw5ZY
April 26, 2022 - Harms included increased nonfatal major
gastrointestinal bleeding and intracranial hemorrhage. … an intracra-
nial hemorrhage event. … and
intracranial hemorrhage. … and intracranial hemorrhage. … and intracranial hemorrhage.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
February 01, 2018 - to the hospital with altered mental status and found to have an intracranial mass with a surrounding hemorrhage … Fortunately, for the first 3 days, her exam remained unchanged, and the bleeding was stable on repeated … day remained unchanged, the benefits of low-dose DVT prophylaxis would outweigh the risk of serious bleeding … A repeat head CT scan showed a significant increase in the intracranial hemorrhage and worsening brain … Based on the extent of the bleeding and her neurologic examination, she had no chance for a meaningful
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psnet.ahrq.gov/issue/optimal-use-telehealth-deliver-safe-patient-care
October 10, 2018 - October 18, 2023
Proactive prevention of maternal death from maternal hemorrhage.