-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/insulin-blood-sugar_research.pdf
August 01, 2015 - 2 * ‡
Non-severe hypoglycemia 0 *
Severe hypoglycemia 2 * ‡
Hyperglycemia 0 *
Adults
HbA1c 1 … HbA1c 0 *
Adherence 0 *
Non-severe hypoglycemia 0 *
Severe hypoglycemia 5 *
Hyperglycemia 0 … HbA1c 3 *
Adherence 0 *
Non-severe hypoglycemia 0 *
Severe hypoglycemia 1 *
Hyperglycemia 1 … 2 * ‡
Non-severe hypoglycemia 0 *
Severe hypoglycemia 2 * ‡
Hyperglycemia 0 *
Adults
HbA1c 1 … HbA1c 0 *
Adherence 0 *
Non-severe hypoglycemia 0 *
Severe hypoglycemia 5 *
Hyperglycemia 0
-
www.ahrq.gov/pqmp/measures/index.html?page=0
Quality Measures (CAPQuaM)
Documentation of heart rate during fluid resuscitation for children with severe … Collaboration for Advancing Pediatric Quality Measures (CAPQuaM)
Timely antibiotics for children with severe … Testing, Review, and Implementation Consortium (Q-METRIC)
Timely fluid bolus for children with severe
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/053-sample-script-iodophor.docx
April 01, 2025 - These bacteria can spread to other areas and can cause severe infection.
· Reducing bacteria in the nose … can decrease the chance of getting a severe infection following surgery.
· Iodophor is a safe, over-the-counter
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psnet.ahrq.gov/issue/postpartum-hemorrhage-patient-safety-bundle-implementation-single-institution-successes
February 01, 2023 - birthing people - associations between racialized economic segregation, incarceration inequality, and severe … February 15, 2023
Using potentially preventable severe maternal morbidity to monitor … September 21, 2022
Distinguishing high-performing from low-performing hospitals for severe
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psnet.ahrq.gov/issue/team-experiences-root-cause-analysis-process-after-sentinel-event-qualitative-case-study
October 07, 2020 - Related Resources
Delivery at an inadequate level of maternal care is associated with severe … August 9, 2023
Using potentially preventable severe maternal morbidity to monitor hospital … February 8, 2023
Distinguishing high-performing from low-performing hospitals for severe
-
psnet.ahrq.gov/node/850160/psn-pdf
June 07, 2023 - implementation of a quality improvement initiative in Ohio to improve outcomes for
patients with a severe … September 2021, the researchers identified sustained improvements in
timely and appropriate treatment for severe
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/insomnia_clinician.pdf
August 01, 2017 - .
�� FDA labels warn of several potential severe adverse
effects for all insomnia medications. … injuries because of drowsiness
�� Severe anaphylactic or anaphylactoid reactions
�� Possible respiratory … depression in people with severe lung disease
or sleep apnea
�� Withdrawal symptoms if abrupt dose … hallucinations)
�� Worsening depression or suicidal thoughts in people with
primary depression
�� Severe … � Decreased testosterone and increased prolactin levels
�� Possible adverse effects in people with severe
-
psnet.ahrq.gov/node/49867/psn-pdf
July 02, 2019 - The critical care provider consulted a nephrologist, and both agreed the severe
symptomatic hyponatremia … Tobias Dreischulte, MPharm, MSc, PhD
This case illustrates how a commonly used medicine can lead to severe … retention in patients with mild congestive heart failure (loop diuretics are
indicated in case of more severe … of diuretics may be attempted when swelling due to venous
insufficiency of the legs is particularly severe … widely used and recommended by guidelines, thiazide diuretics are a class of
medicines that may cause severe
-
psnet.ahrq.gov/issue/epidemiology-healthcare-harm-new-zealand-general-practice-retrospective-records-review-study
December 01, 2021 - The majority of harms were minor; 4.5% of harms were considered severe. … June 16, 2021
Suicide as an incident of severe patient harm: a retrospective cohort study
-
www.ahrq.gov/news/newsletters/e-newsletter/942.html
December 01, 2024 - AHRQ Stats: Disparities in Severe Maternal Morbidity Black non-Hispanic women and Hispanic women both … experienced a 43 percent increase in severe maternal morbidity between 2016 and 2021, compared with … same timeframe, women of other non-Hispanic race and ethnicity experienced a 48 percent increase in severe … (Source: AHRQ Healthcare Cost and Utilization Project Statistical Brief #312, Trends in Severe Maternal
-
psnet.ahrq.gov/issue/impact-teamstepps-training-obstetric-team-attitudes-and-outcomes-labor-and-delivery-unit
October 27, 2021 - birthing people - associations between racialized economic segregation, incarceration inequality, and severe … February 15, 2023
Using potentially preventable severe maternal morbidity to monitor … August 17, 2022
Distinguishing high-performing from low-performing hospitals for severe
-
psnet.ahrq.gov/issue/qualitative-analysis-impact-electronic-health-records-ehr-healthcare-quality-and-safety
October 05, 2022 - March 29, 2023
Using potentially preventable severe maternal morbidity to monitor hospital … April 20, 2022
Routine multidisciplinary review of severe maternal morbidity is associated … with a reduction in preventable cases of severe maternal morbidity.
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
May 01, 2017 - Specific activation criteria:
· Category III fetal heart rate tracing
· Bright red vaginal bleeding
· Severe … e.g., with a shoulder dystocia)
· Cord prolapse
· Hypotension
· Consistently rising blood pressure
· Severe … CUSP Module) (continued)
Key Perinatal Safety Elements
Examples
Have a process in place to review severe … · Unit can decide its approach to reviewing cases of severe maternal or neonatal morbidity or mortality … abdominal pain
Seizure
Severe headache
Difficult to control pain/agitation
Mother unresponsive
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-one-pager.pdf
September 01, 2022 - • Options for non-severe penicillin allergy: cephalexin or cefadroxil for 10 days. … • Options for severe penicillin allergy: clindamycin for 10 days or azithromycin for 5 days.
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/chronic-obstructive-pulmonary-disease-copd-screening-2008
March 15, 2008 - Fair evidence also indicates that fewer than 10% of those identified by screening spirometry have severe … or very severe COPD, using current diagnostic criteria. … or very severe COPD (FEV 1 <50% of predicted). … Risk Assessment
Screening for COPD would theoretically benefit adults with a high probability of severe … or very severe COPD.
-
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
-
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
-
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.
-
hcup-us.ahrq.gov/reports/statbriefs/sb247-appendix.pdf
December 25, 2022 - , without psychotic symptoms
F30.2 Manic episode, severe with psychotic symptoms
F30.3 Manic episode … F31.2 Bipolar disorder, current episode manic, severe with psychotic features
F31.30 Bipolar disorder … , without psychotic
features
F31.5 Bipolar disorder, current episode depressed, severe, with psychotic … , without psychotic features
F31.64 Bipolar disorder, current episode mixed, severe, with psychotic … without psychotic features
F33.3 Major depressive disorder, recurrent, severe with psychotic symptoms