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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
May 01, 2015 - sepsis, and septic shock
Describe the severe sepsis/septic shock resuscitation bundle
Recognize commonly … Severe sepsis and septic shock. … Crit Care Med. 2013;41:580-637. http://www.ncbi.nlm.nih.gov/pubmed/23353941
8
Severe Sepsis
Severe sepsis … Early goal-directed therapy in the treatment of severe sepsis and septic shock. … Early goal-directed therapy in the treatment of severe sepsis and septic shock.
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psnet.ahrq.gov/node/74256/psn-pdf
January 19, 2022 - Potentially severe incidents during interhospital transport
of critically ill patients, frequently occurring … Potentially severe incidents during interhospital transport of critically ill
patients, frequently occurring … https://psnet.ahrq.gov/issue/potentially-severe-incidents-during-interhospital-transport-critically-ill-patients … https://psnet.ahrq.gov/issue/potentially-severe-incidents-during-interhospital-transport-critically-ill-patients
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality.html
September 01, 2021 - State of the Science
Introduction
The Contribution of Diagnostic Error to Maternal Mortality and Severe … Brief 6
Contents
Introduction
The Contribution of Diagnostic Error to Maternal Mortality and Severe
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CDI-one-page.pdf
November 01, 2019 - lower abdominal pain, cramping,
and nausea (with or without low-grade fevers and leukocytosis) to severe … period without an alternative
explanation, and positive stool test for C. difficile
• Patients with severe … times a day or vancomycin (10 mg/kg/dose
PO 3 times a day; max dose 500 mg/dose) for 10 days
• Severe … prompt surgical consultation
o Adults: vancomycin 125 mg PO/nasogastric tube (NG) 4 times a day for severe … colitis for 10 days
o Children: vancomycin 10 mg/kg/dose PO/NG 4 times a day (max 500 mg/dose) for severe
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psnet.ahrq.gov/node/46872/psn-pdf
May 09, 2018 - Obstetric Care Consensus No. 5: Severe Maternal
Morbidity: Screening and Review. … May 9, 2018
Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review. … https://psnet.ahrq.gov/issue/obstetric-care-consensus-no-5-severe-maternal-morbidity-screening-and- … https://psnet.ahrq.gov/issue/obstetric-care-consensus-no-5-severe-maternal-morbidity-screening-and-review … https://psnet.ahrq.gov/issue/obstetric-care-consensus-no-5-severe-maternal-morbidity-screening-and-review
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psnet.ahrq.gov/issue/examining-effect-quality-improvement-initiatives-decreasing-racial-disparities-maternal
May 11, 2022 - As part of a larger quality improvement and patient safety initiative to reduce severe maternal morbidity … birthing people - associations between racialized economic segregation, incarceration inequality, and severe … February 15, 2023
Using potentially preventable severe maternal morbidity to monitor … February 8, 2023
Distinguishing high-performing from low-performing hospitals for severe
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-1.html
September 01, 2021 - State of the Science
Introduction
The Contribution of Diagnostic Error to Maternal Mortality and Severe … Maternal mortality is thought of as the “tip of the iceberg,” as severe maternal morbidity has similar … Severe maternal morbidity (SMM) is defined as an unintended outcome of birth that results in significant … short-term or long-term consequences. 8 For every maternal death, 70 women are estimated to suffer from a severe
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-5-table-3.pdf
August 01, 2014 - Level of
Evidence
(USPSTF
Ranking*)
Citations
Clinical
guidelines
Pediatric considerations in severe … sepsis: Empiric
antibiotics should be administered within 1 hour
of the identification of severe sepsis … the
same organism is recovered from both
cultures, the likelihood that the organism is
causing the severe … Surviving
Sepsis Campaign:
International guidelines for
management of severe
sepsis and septic shock … Improving outcomes for
severe sepsis and septic
shock: Tools for early
identification of at-risk
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-2-tech-specs.pdf
June 02, 2025 - children admitted to the hospital, including the Emergency
Department
Sepsis syndrome Sepsis, severe … Table 3-A: Definition of Sepsis Syndrome
Term Definition
Sepsis
syndrome
Sepsis, severe sepsis … “Rule out infection” OR
• “Suspected infection” OR
• “Rule out sepsis” OR
• “Suspected sepsis”
Severe … to gram-negative organisms 038.49
Other specified septicemias 038.8
Unspecified septicemia 038.9
Severe … 19 years of age during measurement year
Event/Diagnosis Diagnosed with sepsis syndrome (sepsis, severe
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psnet.ahrq.gov/node/38557/psn-pdf
April 22, 2009 - Antecedents of severe and nonsevere medication errors.
April 22, 2009
Chang Y-K, Mark BA. … Antecedents of severe and nonsevere medication errors. … https://psnet.ahrq.gov/issue/antecedents-severe-and-nonsevere-medication-errors
This study examined … factors contributing to medication errors and discovered that severe and nonsevere
errors differ in … https://psnet.ahrq.gov/issue/antecedents-severe-and-nonsevere-medication-errors
https://psnet.ahrq.gov
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-264-maternal-morbidity-mortality-executive-summary.pdf
December 01, 2023 - morbidity; delivery location may
contribute up to 37 percent of ethnic disparity in severe maternal … o Nationally, if rural Indigenous birthing women experienced severe
maternal morbidity and mortality … maternal morbidity, contributing up to 37
percent of ethnic disparity in severe maternal morbidity … Neighborhood
racial and economic polarization, hospital of
delivery, and severe maternal morbidity. … Severe maternal morbidity and
mortality among indigenous women in the
United States.
-
psnet.ahrq.gov/node/42028/psn-pdf
February 18, 2014 - Severe burns and permanent scarring after
glacial acetic acid (? … https://psnet.ahrq.gov/issue/warning-severe-burns-and-permanent-scarring-after-glacial-acetic-acid-995 … mistakenly-applied
Describing several incidents of a corrosive chemical mistakenly applied to skin that led to severe … https://psnet.ahrq.gov/issue/warning-severe-burns-and-permanent-scarring-after-glacial-acetic-acid-995 … -mistakenly-applied
https://psnet.ahrq.gov/issue/warning-severe-burns-and-permanent-scarring-after-glacial-acetic-acid
-
psnet.ahrq.gov/node/40907/psn-pdf
December 08, 2011 - Reporting of sentinel events in Swedish hospitals: a
comparison of severe adverse events reported by … Reporting of sentinel events in Swedish hospitals: a comparison of
severe adverse events reported by … https://psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse- … However, this study found that more than
80% of cases where patients were compensated for severe injuries … https://psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-events-reported
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-3.html
September 01, 2021 - State of the Science
Introduction
The Contribution of Diagnostic Error to Maternal Mortality and Severe … improvement collaborative with adoption of this safety bundle 23 led to a 21 percent reduction in severe … Addressing Implicit Bias, Structural Barriers, and Social Determinants of Health
Severe maternal morbidity … birthing people of color, especially Black women, with Black women twice as likely to experience a severe
-
psnet.ahrq.gov/node/38246/psn-pdf
January 02, 2009 - Chemotherapy safety and severe adverse events in
cancer patients: strategies to efficiently avoid
chemotherapy … Chemotherapy safety and severe adverse events in cancer patients:
Strategies to efficiently avoid chemotherapy … https://psnet.ahrq.gov/issue/chemotherapy-safety-and-severe-adverse-events-cancer-patients-strategies … https://psnet.ahrq.gov/issue/chemotherapy-safety-and-severe-adverse-events-cancer-patients-strategies-efficiently-avoid … https://psnet.ahrq.gov/issue/chemotherapy-safety-and-severe-adverse-events-cancer-patients-strategies-efficiently-avoid
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/066-dec-staff-faqs-safety-side-effects.docx
October 01, 2024 - In extremely rare circumstances, severe allergic reactions to CHG, topical nasal mupirocin, or topical … If you think a patient may be developing a severe allergic reaction (including hives, severe itching, … For less severe side effects, please contact the treating physician for all patient care needs.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-section-1-tables-1-2.pdf
June 02, 2025 - Section 1, Tables 1 and 2
Table 1: Definition of Severe Sepsis and Septic Shock
Term Definition … Severe sepsis Sepsis plus one of the following: cardiovascular organ dysfunction OR acute respiratory … for age
Septic Shock Sepsis and cardiovascular organ dysfunction
Table 2: Codes to Identify Severe … to gram-negative organisms 038.49
Other specified septicemias 038.8
Unspecified septicemia 038.9
Severe
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/version-3-immunity-after-COVID-19-appendix-table-B-1.xlsx
January 24, 2022 - any infection (n/N or % asymptomatic) Disease severity (hospitalized, not hospitalized; or mild/mod/severe … March 2020 Individuals who were vaccinated 32
Median (IQR)
Total: NR
Mild: 31 (29-59)
Moderately severe … : 127* (89.4)*
Severe: 13* (9.2)
Hospital admission: 122* (85.9)
LT
Non-severe: 63 (88.7)
Hospital admission … : 58 (89.2)
Hospital admission: 54 (83.1)
Control
Non-severe: 59 (90.8)
Hospital admission: 56 (86.2 … : 41
Mild: 42
Asymptomatic: 19
SOT
Severe: 22
Mild: 22
Asymptomatic: 9
IC
Severe: 19
Mild: 20
Asymptomatic
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - provider communication tools and
strategies with the AIM patient safety bundles for hemorrhage
and severe … teamwork and provider communication aspects with the AIM patient safety
bundles for hemorrhage and severe … Hospital AIM
Team
Leads
SPPC‐II
Growing Interest in Severe Maternal Morbidity (SMM)
□ Calls by … Links:
https://www.cdc.gov/reproductivehealth/maternalinfanthealth/smm/severe-
morbidity-ICD.htm
https … • Severe morbidity during delivery hospitalizations more than doubled during
1993‐2014, with the
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - provider communication tools and
strategies with the AIM patient safety bundles for hemorrhage
and severe … teamwork and provider communication aspects with the AIM patient safety
bundles for hemorrhage and severe … it has been shown that
preventable deaths are those contributed by conditions like hemorrhage and severe … Hospital AIM
Team
Leads
SPPC‐II
Growing Interest in Severe Maternal Morbidity (SMM)
□ Calls by … • Severe morbidity during delivery hospitalizations more than doubled during
1993‐2014, with the