-
psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh
May 27, 2011 - August 31, 2011
Routine multidisciplinary review of severe maternal morbidity is associated … with a reduction in preventable cases of severe maternal morbidity.
-
psnet.ahrq.gov/node/60610/psn-pdf
June 24, 2020 - Over the next 3 years, her dysmenorrhea continued, and she developed severe abdominal cramps,
bloating … She saw her
primary care provider for her severe diarrhea and was diagnosed with Irritable Bowel Syndrome … Nine years after the onset of her severe menstrual symptoms and six years after the onset of her disabling … The lack of an evaluation for what is described as “severe”
diarrhea is also concerning because other … Is Endometriosis More Common and More Severe Than It Was
30 Years Ago?.
-
psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
November 25, 2020 - Low socioeconomic status, Medicaid insurance status, and obesity also increase the risk for severe obstetric … In this case, there was a potentially preventable etiology of severe maternal morbidity that might have … There are no head-to-head comparisons, but Blumenthal et al. did a retrospective analysis of severe maternal … Take-Home Points
Maternal deaths and severe maternal morbidity remain major challenges in the United … Modified obstetric early warning scoring systems (MOEWS): validating the diagnostic performance for severe
-
psnet.ahrq.gov/node/862983/psn-pdf
February 28, 2024 - 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 … 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
-
psnet.ahrq.gov/node/47306/psn-pdf
March 08, 2019 - lost-mothers-maternal-care-and-preventable-deaths
https://psnet.ahrq.gov/issue/obstetric-care-consensus-no-5-severe-maternal-morbidity-screening-and-review
-
psnet.ahrq.gov/issue/preventing-vincristine-administration-errors
June 16, 2019 - of Healthcare Organizations (JCAHO) issued this alert to bring attention to a rare but potentially severe
-
psnet.ahrq.gov/node/39470/psn-pdf
January 09, 2024 - epidemic-waves
https://psnet.ahrq.gov/primer/telehealth-and-patient-safety
https://psnet.ahrq.gov/issue/severe-staffing-and-personal-protective-equipment-shortages-faced-nursing-homes-during-covid
-
psnet.ahrq.gov/node/861295/psn-pdf
January 24, 2024 - investigators-find-hospital-error-caused-mothers-death-brooklyn
https://psnet.ahrq.gov/issue/trends-maternal-mortality-and-severe-maternal-morbidity-during-delivery-related
-
psnet.ahrq.gov/node/837001/psn-pdf
April 27, 2022 - psnet.ahrq.gov/issue/final-report-ockenden-review
https://psnet.ahrq.gov/issue/obstetric-care-consensus-no-5-severe-maternal-morbidity-screening-and-review
-
psnet.ahrq.gov/node/837898/psn-pdf
August 24, 2022 - never-events
https://psnet.ahrq.gov/issue/nonoperating-room-anaesthesia-safety-monitoring-cognitive-aids-and-severe-acute-respiratory
-
psnet.ahrq.gov/node/73149/psn-pdf
April 14, 2021 - recognizing-importance-whistleblowers-healthcare
https://psnet.ahrq.gov/issue/freedom-speak-review-whistleblowing-nhs
https://psnet.ahrq.gov/issue/severe-staffing-and-personal-protective-equipment-shortages-faced-nursing-homes-during-covid
-
psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-39
June 16, 2019 - This monthly selection reports on two pediatric deaths due to severe hyponatremia following postoperative
-
psnet.ahrq.gov/node/867186/psn-pdf
November 20, 2024 - psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic
https://psnet.ahrq.gov/issue/severe-staffing-and-personal-protective-equipment-shortages-faced-nursing-homes-during-covid
-
psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - Case #2 : A 19-year-old college student suffered a severe left tibiofibular fracture when he was side-tackled … Throughout the night and into the following morning, the patient experienced severe pain, numbness, a … in these cases displayed typical symptoms of CS involving lower extremity fractures: development of severe … first case, the treating team did not recognize preoperative CS despite the patient’s complaint of severe … specificity of 55% for correct identification of elevated pressure in the affected compartment. 6 Severe
-
psnet.ahrq.gov/node/836868/psn-pdf
April 06, 2022 - //psnet.ahrq.gov/issue/hear-her-concerns
https://psnet.ahrq.gov/issue/obstetric-care-consensus-no-5-severe-maternal-morbidity-screening-and-review
-
psnet.ahrq.gov/node/74735/psn-pdf
February 02, 2022 - root-cause-analyses-suicides-mental-health-clients
https://psnet.ahrq.gov/web-mm/cultural-dimensions-depression
https://psnet.ahrq.gov/issue/victims-severe-intimate-partner-violence-are-left-without-advocacy-intervention-primary-care
-
psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
June 01, 2015 - Comment: The diagnosis of CAP in patients hospitalized for severe symptoms is often made without evidence … giving 40 mg prednisolone intravenously for 3 days in addition to antibiotics to one cohort of moderate–severe … Severe multisystem disease without a clear diagnosis is more often caused by infection, malignancy, or … infection is the inflammatory response to the inciting agent (e.g., diffuse tuberculous pneumonia, severe … Effects of systemic steroids in patients with severe community-acquired pneumonia.
-
psnet.ahrq.gov/node/841567/psn-pdf
December 14, 2022 - determining the ultimate impact of care and identifying if patients were
harmed.8 One example of this is the Severe … Severe hypoglycemia events are avoidable
adverse drug events. … were administered at least one hypoglycemic medication during a hospital stay and subsequently had a
severe … Hospital Harm – Severe Hypoglycemia.
-
psnet.ahrq.gov/node/844053/psn-pdf
February 28, 2025 - culture-safety
https://psnet.ahrq.gov/primer/long-term-care-and-patient-safety
https://psnet.ahrq.gov/issue/severe-staffing-and-personal-protective-equipment-shortages-faced-nursing-homes-during-covid
-
psnet.ahrq.gov/node/866561/psn-pdf
August 21, 2024 - severity patient safety incidents, but that events occurring during the 7-8 months of DST were
more severe