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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - Independent Checks
Say:
Another element related to creating independent checks is to quantify blood loss … Nonstandardized, informal, visual estimation methods typically underestimate blood loss, resulting in … Methods for quantifying blood loss may vary by type of delivery (vaginal or cesarean) but typically involve … quantifying blood loss beginning immediately after birth of the infant, using calibrated under-buttocks … Early identification of hemorrhage through quantification of blood loss.
Use of cognitive aids.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
September 01, 2021 - Estimated blood loss at this point was >2,000 mL.c Delays in blood transfusion occurred due to the
inability … to the lack of an organized standard approach.h The patient had a cardiac arrest from
severe blood loss … Visual estimation of blood loss - no
quantification of actual blood loss.
d. … Identify the most sensitive markers for
[maternal hemorrhage], e.g., quantitative
blood loss, early … Explore which factors promote real-time
quantification and discussion of blood loss.
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-mh.html
May 01, 2018 - depressive episode is defined as a period of at least 2 weeks when a person experienced a depressed mood or loss … depressive episode is defined as a period of at least 2 weeks when a person experienced a depressed mood or loss
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www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
June 01, 2023 - corrective action, the patient, team, and family caregiver each have an opportunity to correct errors or the loss
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_antepart-hemorrhage.docx
May 01, 2017 - Team quantitatively estimates blood loss.
Leader may call team huddle. … Patient gown, bed lines, and blue underpads are soaked with blood (500ml–1,000ml estimated loss)
The … Team quantitatively estimates blood loss.
Leader may call team huddle. … Patient gown, bed linens, and blue underpads are soaked with blood (500ml–1,000ml estimated loss).
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www.ahrq.gov/sites/default/files/2024-09/etchegaray3-report.pdf
January 01, 2024 - Measuring social
support for weight loss in an internet weight loss community. … Activity in an online
weight loss community predicts encouragement support.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/mod02-business-case-worksheet.pdf
April 01, 2016 - actual results to settlement
authority extended
– Legal costs (dollars spent on litigation and loss … patient safety division to calculate the projected
costs of harm events in terms of reimbursement
loss
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www.ahrq.gov/research/findings/studies/index.html?page=256
January 01, 2024 - Sereika SM Bidirectional relationships between weight change and sleep apnea in a behavioral weight loss … relationship between weight change and obstructive sleep apnea (OSA) in the context of behavioral weight loss … A total of 114 adults who were overweight or obese participated in a 12-month behavioral weight loss … The results suggest that OSA screening should be used before attempting weight loss and also may indicate … Bidirectional relationships between weight change and sleep apnea in a behavioral weight loss intervention
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/7.html
December 01, 2017 - fluidized surface
X
X
X
X
Dynamic/alternating pressure
Low air loss … Low air loss
Physician Orders
If there is a physician order for low air loss bed surface, then display
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
July 02, 2008 - Stage 2
Shallow open injury with a red-pink wound bed
No slough
9
Stage 3
Full-thickness tissue loss … Visible subcutaneous fat
No exposed bone, tendon, or muscle
10
Stage 4
Full-thickness tissue loss … Exposed bone, tendon, or muscle
11
Unstageable
Full-thickness skin and tissue loss in which the
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www.ahrq.gov/chain/research-tools/featured-certs/patient-centered-perspective.html
March 01, 2017 - how regimens both cause and cure body "failures" and how such failures can cause poor performance, loss
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www.ahrq.gov/research/findings/studies/index.html?page=257
January 01, 2024 - »
Pellegrini CA , Chang RW , Dunlop DD Comparison of a Patient-Centered Weight Loss … results of a randomized pilot study that assessed changes in weight during a Patient Centered Weight Loss … Sixteen participants were randomly assigned to a 14-session weight loss program that started either at … Comparison of a Patient-Centered Weight Loss Program starting before versus after knee replacement: a
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-obstetric-hemorrhage-scenarios.pptx
July 01, 2023 - The quantified blood loss at this time is 400 cc, which is normal for a vaginal delivery.
9
Obstetric … Quantitative blood loss assessment was performed and found to be 1,250 cc total at this time. 1,000 mg … Williams is just having normal postpartum lochia and blood loss.
I think she should be OK. … Williams is just having normal postpartum lochia and blood loss. I think she should be OK. … Williams is now becoming symptomatic from her blood loss, which seems to be challenging her safety.
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www.ahrq.gov/news/newsroom/case-studies/cfact0806.html
October 01, 2014 - Of this amount, $1.1 trillion represents the cost of lost productivity, a massive economic loss associated
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - 20,26,32-35
Slide 22
SAY:
Another element related to creating independent checks is to quantify blood loss … Nonstandardized, informal, visual estimation methods typically underestimate blood loss, resulting in … delayed recognition and management of obstetric hemorrhage.19,27,36-41
Methods for quantifying blood loss … may vary by type of delivery (vaginal or cesarean) but typically involve quantifying blood loss beginning … related to—
situational awareness;
early identification of hemorrhage through quantification of blood loss
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-anemia.pdf
December 13, 2013 - ■ Anemia is more profound and occurs earlier in premature infants due to:
– Blood loss from sampling
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
July 01, 2023 - Services makes no warranties regarding errors or omissions and assumes no responsibility or liability for loss
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/teachback.html
May 01, 2023 - However, misunderstandings can cause substantial time loss later and also place the patient at risk,
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
April 10, 2018 - following up after reconstructive surgery for fractured skull from a fall
Struggling with depression
after loss … Martin has been struggling with depression after the loss of her father and then the unexpected loss
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
August 24, 2015 - Not doing this can lead to a loss of trust from the patient. … Assess lost income potential, loss of quality of life.
Apply liability defense costs. … Lost income potential and loss of quality of life.