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psnet.ahrq.gov/node/49772/psn-pdf
October 01, 2016 - 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
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psnet.ahrq.gov/issue/investigating-racial-and-ethnic-disparities-maternal-care-system-level-using-patient-safety
March 29, 2023 - States , women and birthing people of color experience disproportionately high rates of mortality and severe … "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe
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psnet.ahrq.gov/issue/drug-drug-interactions-and-prescription-appropriateness-hospital-discharge-experience-covid
August 11, 2021 - This study examined the potential severe drug-drug interactions (DDI) among hospitalized older adults … characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe
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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - for cesarean than for vaginal birth. 17 Those who give birth by cesarean are at greater risk for severe … Transition (AIM) Safe Reduction of Primary Cesarean Birth (AIM) Sepsis in Obstetrical Care (AIM) Severe … Reducing disparities in severe maternal morbidity and mortality. … Hospital delivery volume, severe obstetrical morbidity, and failure to rescue. … December 6, 2023
Trends in maternal mortality and severe maternal morbidity during delivery-related
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psnet.ahrq.gov/issue/hamilton-acute-pain-service-safety-study-using-root-cause-analysis-reduce-incidence-adverse
January 12, 2011 - The rates of overall events, respiratory depression, severe hypotension, and pump programming errors … decreased, but incidence of severe pain increased.
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psnet.ahrq.gov/issue/systematic-review-effect-distraction-surgeon-performance-directions-operating-room-policy-and
November 14, 2011 - This systematic review found that equipment and procedural distractions were the most severe distraction … May 4, 2010
Trends in maternal mortality and severe maternal morbidity during delivery-related
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psnet.ahrq.gov/issue/duration-second-victim-symptoms-aftermath-patient-safety-incident-and-association-level
June 09, 2021 - These symptoms were more severe and long lasting for events with more serious harm to patients, compared … to events with less severe harm.
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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - TdP was likely
precipitated by severe hypokalemia in the setting of a prolonged QT interval and then … increase in
T wave amplitude, with the appearance of “peaked” T waves (Figure 2).9 When hyperkalemia is severe … It 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.
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psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
January 29, 2021 - On awakening from general anesthesia, the patient complained of severe pain in the right leg. … Through the evening after surgery, the patient continued to complain of severe pain and paresthesias … Compartment syndrome is a rare but severe complication of operations performed in the lithotomy position … The pain is typically severe and does not respond to standard amounts of postoperative pain medications … Venous thrombosis is usually not associated with such severe pain.
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psnet.ahrq.gov/issue/medication-safety-certificate-program
September 30, 2020 - Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically. … June 13, 2018
Severe hyperglycemia in patients incorrectly using insulin pens at home
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psnet.ahrq.gov/node/43711/psn-pdf
November 26, 2014 - study evaluated costs related to the index hospitalization and 90 days following discharge of six
HACs—severe … Severe pressure
ulcers and orthopedic surgical site infections resulted in an average increase in payments
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psnet.ahrq.gov/node/851555/psn-pdf
July 31, 2023 - Second, the combination of anorexia with substantial
weight loss, severe constipation, and abdominal … For symptoms more severe than expected for constipation, concern must be raised
for stercoral colitis … Points
Non-specific symptoms such as weakness, weight loss, and anorexia may be warning signs for
severe … in patients with chronic constipation and
abdominal complaints, especially when complaints are more severe … Moderate and severe bandemia (>11% bands) should prompt further investigation for an underlying
infection
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - She described the pain as moderate-to-severe, radiating down the left leg and buttock. … of particular concern, as it is generally associated with more rapid clinical deterioration and more severe … This 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. … Prompt treatment, generally in the form of surgical evacuation, before the onset of severe neurological
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psnet.ahrq.gov/issue/reduced-effectiveness-interruptive-drug-drug-interaction-alerts-after-conversion-commercial
May 20, 2019 - of 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
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psnet.ahrq.gov/issue/effect-outcome-physician-judgments-appropriateness-care
June 23, 2015 - exception 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
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psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
January 15, 2020 - July 31, 2019
Early identification and evaluation of severe pressure injuries. … birthing people - associations between racialized economic segregation, incarceration inequality, and severe
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psnet.ahrq.gov/issue/white-blood-cell-left-shift-neonate-case-mistaken-identity
March 30, 2022 - Related Resources From the Same Author(s)
Routine multidisciplinary review of severe … maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity.
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psnet.ahrq.gov/issue/safe-handling-concentrated-electrolyte-products-outsourcing-facilities-during-critical-drug
December 15, 2021 - December 15, 2021
Severe hyperglycemia in patients incorrectly using insulin pens at … Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically.
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psnet.ahrq.gov/issue/potential-inaccuracy-electronically-transmitted-medication-history-information-used
December 15, 2021 - 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.
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psnet.ahrq.gov/issue/use-maternal-early-warning-trigger-tool-reduces-maternal-morbidity
September 27, 2017 - Severe maternal morbidity, as defined by the Centers for Disease Control and Prevention, and composite … August 30, 2023
Distinguishing high-performing from low-performing hospitals for severe