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Showing results for "severe".

121. The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. | PSNet
     psnet.ahrq.gov/issue/impact-intervention-improve-intrapartum-maternal-vital-sign-monitoring-and-reduce-alarm
     September 23, 2020 - birthing people - associations between racialized economic segregation, incarceration inequality, and severe … December 14, 2022 Distinguishing high-performing from low-performing hospitals for severe … May 24, 2023 Using potentially preventable severe maternal morbidity to monitor hospital

122. Assessing nourishment problems at a hospital: what can we learn from them? | PSNet
     psnet.ahrq.gov/issue/assessing-nourishment-problems-hospital-what-can-we-learn-them
     January 08, 2025 - Of the 89 nutrition-related problems, 20% were very severe, including one that resulted in patient death … November 16, 2015 Drug dosing error with drops – severe clinical course of codeine intoxication

123. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47079/psn-pdf
     July 02, 2019 - interruptive alerts with adoption of the commercial system, and clinician acceptance for the most severe … workflow process, user- interface design factors, and the inability to distinguish between more and less severe

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48176/psn-pdf
     July 31, 2019 - These symptoms were more severe and long lasting for events with more serious harm to patients, compared … to events with less severe harm.

125. Lapse in Antibiotics Leads to Sepsis | PSNet
     psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
     November 21, 2021 - amniotic fluid was foul smelling and chorioamnionitis—an infection of the amniotic sac that can cause severe … Sepsis, severe sepsis, and septic shock—defined as progressive multi-organ system dysfunction in the … Hospitalizations, costs, and outcomes of severe sepsis in the United States 2003 to 2007. … Early goal-directed therapy in the treatment of severe sepsis and septic shock. … Empiric antibiotic treatment reduces mortality in severe sepsis and septic shock from the first hour:

126. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
     January 01, 2024 - TdP was likely precipitated by severe hypokalemia in the setting of a prolonged QT interval and then … associated symptoms (e.g., muscle weakness, paresthesias, or palpitations), ECG changes, rapid-onset or severe … Bicarbonate should only be considered in specific situations, such as preexisting severe metabolic acidosis … Clinicians should familiarize themselves with the ECG manifestations of and treatment options for severe … Electrocardiographic manifestations in severe hypokalemia.

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43006/psn-pdf
     April 02, 2014 - The rates of overall events, respiratory depression, severe hypotension, and pump programming errors … decreased, but incidence of severe pain increased.

128. Maternal Safety | PSNet
     psnet.ahrq.gov/curated-library/maternal-safety
     January 31, 2024 - National Partnership for Maternal Safety: consensus bundle on support after a severe … Read More A multidisciplinary model for reviewing severe maternal morbidity … More Distinguishing high-performing from low-performing hospitals for severe … Study A multidisciplinary model for reviewing severe maternal morbidity cases and … Severe maternal morbidity, as defined by the Centers for Disease Control and Prevention, and composite

129. Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection. | PSNet
     psnet.ahrq.gov/issue/potentially-dangerous-confusion-between-bloxiverz-neostigmine-injection-and-vazculep
     July 08, 2015 - June 13, 2018 Severe hyperglycemia in patients incorrectly using insulin pens at home … Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically. … March 10, 2021 Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe

130. Airway Obstruction during Anterior Cervical Spine Surgery | PSNet
     psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
     January 29, 2021 - Breathing circuit or ventilator malfunction, severe bronchospasm, and tension pneumothorax are other … blocking the tube. 9 If difficult ventilation persists despite changing the ETT, the patient may have severe … Inhaled therapy with albuterol and sevoflurane is not effective when bronchospasm is severe because gas … Severe bronchospasm in intubated patients should therefore be treated with intravenous medications. 10 … quickly transform a small asymptomatic pneumothorax into a tension pneumothorax that may precipitate severe

131. Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. | PSNet
     psnet.ahrq.gov/issue/statewide-perinatal-quality-improvement-teamwork-and-communication-activities-oklahoma-and
     October 19, 2022 - of units had standardized processes for serious events (obstetric hemorrhage, massive transfusion, severe … August 10, 2022 Distinguishing high-performing from low-performing hospitals for severe

132. A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical emergencies. | PSNet
     psnet.ahrq.gov/issue/qualitative-study-systems-level-factors-affect-rural-obstetric-nurses-work-during-clinical
     April 20, 2022 - Severe maternal morbidity continues to be a patient safety challenge. … "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe

133. Exposures to structural racism and racial discrimination among pregnant and early post-partum Black women living in Oakland, California. | PSNet
     psnet.ahrq.gov/issue/exposures-structural-racism-and-racial-discrimination-among-pregnant-and-early-post-partum
     August 12, 2019 - Black women experience high rates of severe maternal morbidity and mortality . … birthing people - associations between racialized economic segregation, incarceration inequality, and severe

134. Automation failures and patient safety. | PSNet
     psnet.ahrq.gov/issue/automation-failures-and-patient-safety
     November 21, 2012 - August 25, 2021 Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe … WebM&M Cases Endotracheal Tube Fallout in a Patient with Severe … WebM&M Cases Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe

135. Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. | PSNet
     psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-process-evaluation-and
     December 13, 2013 - December 9, 2020 Using potentially preventable severe maternal morbidity to monitor hospital … February 8, 2023 Routine multidisciplinary review of severe maternal morbidity is associated … with a reduction in preventable cases of severe maternal morbidity.

136. Don't Dismiss the Dangerous: Obstetric Hemorrhage | PSNet
     psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
     August 21, 2024 - This patient was even more complicated because of the additional diagnosis of severe preeclampsia—new … The final option in severe, persistent bleeding is total hysterectomy, but it is used only as a last … In conclusion, obstetric hemorrhages are common and remain a major cause of severe maternal morbidity … Severe maternal morbidity among delivery and postpartum hospitalizations in the United States. … Measuring severe maternal morbidity: validation of potential measures.

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34693/psn-pdf
     February 10, 2011 - that if the true case resulted in mild reversible injury, the matching case was made to result in severe … When reviewed by an expert panel of experienced anesthesiologists, the care in cases with a severe outcome

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49872/psn-pdf
     August 08, 2019 - She described the pain as moderate-to-severe, radiating down the left leg and buttock. … particular concern, as it is generally associated with more rapid clinical deterioration and more severe … difference is likely due to the smaller canal diameters in the thoracic level, which lead to more severe … A severe, circumscribed tenderness is a frequent early finding for patients developing early SEA. … , if a patient presents with back pain and fever or with focal neurological findings or with local severe

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846768/psn-pdf
     March 29, 2023 - Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. … Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. … https://psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery The … Given the severe hypoxemia, a full intubation dose of succinylcholine was given, and the patient was … Projected U.S. state-level prevalence of adult obesity and severe obesity.

140. Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage. | PSNet
     psnet.ahrq.gov/issue/toolkits-reduce-hypertension-pregnancy-and-obstetric-hemorrhage
     August 01, 2012 - Obstetric hemorrhage and severe high blood pressure during pregnancy are leading known causes of preventable … August 10, 2022 Distinguishing high-performing from low-performing hospitals for severe