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psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-curriculum-outline-patient-safety-and
September 22, 2021 - February 8, 2023
Distinguishing high-performing from low-performing hospitals for severe … 2023
National Partnership for Maternal Safety: consensus bundle on support after a severe
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psnet.ahrq.gov/issue/obstetric-iatrogenesis-united-states-spectrum-unintentional-harm-disrespect-violence-and
November 11, 2020 - July 7, 2021
Distinguishing high-performing from low-performing hospitals for severe … birthing people - associations between racialized economic segregation, incarceration inequality, and severe
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psnet.ahrq.gov/issue/prioritising-recommendations-following-analyses-adverse-events-healthcare-systematic-review
April 20, 2022 - Diagnostic Safety and Quality
April 26, 2023
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/patient-safety-people-experiencing-advanced-dementia-hospital-video-reflexive-ethnography
November 16, 2022 - July 17, 2024
Early identification and evaluation of severe pressure injuries. … characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe
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psnet.ahrq.gov/node/865655/psn-pdf
April 24, 2024 - 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, … 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 … The team failed to appreciate findings suggestive of CS, especially in a
high-risk context after a severe
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/breast-biopsy-executive.pdf
December 01, 2009 - Severe complications following core-needle biopsy of
any type are very rare, affecting fewer than 1 percent … Vacuum-assisted procedures may be
associated with slightly more severe bleeding events
than automated … complications Any Low 2 to 10% of open surgical procedures
may be affected by severe
complications … ; 0.09 to 0.72% of core-
needle biopsy procedures may be
affected by severe complications
Deaths Low … Low 0.72% of core-needle procedures were
to require treatment affected by severe bleeding
Hematomas
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psnet.ahrq.gov/node/49715/psn-pdf
August 21, 2014 - While this indication was reasonable, the severe bleeding and rare outcome of
death encountered in this … Severe bleeding is
uncommon, occurring in 1 to 2500 to 10,000 patients (6) undergoing biopsy to obtain … Thus, this patient's severe abdominal pain after the biopsy
was a clue that she had significant bleeding … Severe abdominal pain should increase the
concern for a significant bleeding complication. … Contraindications to liver biopsy
Contraindications to liver biopsy
Uncooperative patient
Severe
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/c-difficile-update_consumer.pdf
May 01, 2017 - CDI can be mild to severe. … In rare cases, severe CDI can be life threatening.
2
Archived: This report is greater than 3 years … Symptoms of severe CDI may include:
� Having watery diarrhea
often (as many as 15 times)
throughout … the day and night
� Cramping and pain in your
belly that may be severe
� Blood or pus (a thick, … the availability and cost of the antibiotic, what is covered by your
health insurance plan, and how severe
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integrationacademy.ahrq.gov/sites/default/files/2020-07/MDHAQ.pdf
January 01, 2020 - Please indicate below how severe your pain has been:
{
0
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PAIN
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None Mild Moderate Severe
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digital.ahrq.gov/ahrq-funded-projects/ai-directed-cds-tool-reduce-iron-deficiency-anemia-pregnancy-randomized
August 01, 2024 - Studies show that anemia increases the risk of maternal complications and severe morbidity, with more … severe anemia linked to higher rates of PPH, maternal shock, and intensive care admissions, particularly
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psnet.ahrq.gov/node/49567/psn-pdf
September 01, 2008 - 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 … , observational study of 546 patients with CAP found that mortality
decreased in the patients with severe … Severe multisystem disease without a clear diagnosis
is more often caused by infection, malignancy, … Effects of systemic steroids in patients with severe
community-acquired pneumonia.
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psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - comorbidities (diabetes,
hyperlipidemia, hypertension, coronary artery disease, chronic
renal failure and severe … fracture stable based on post-
mobilization x-rays
• The patient’s recovery was slow due to ileus and severe … buckled and he developed hip pain
– X-rays showed an intracapsular left femoral neck fracture with
severe … approach
• Trauma patients who die in the subacute phase typically have
multiple comorbidities
• Severe … trigger mandatory ICU admission or
at least a consult (e.g., by cardiology) in the PACU
• Given that severe
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hcup-us.ahrq.gov/reports/statbriefs/sb308-hospital-sepsis-2019-2022-addendum.pdf
January 01, 2022 - QI
setname
MDC14PRINDX*
Any age Any ICD-10-CM diagnosis of the following:
• Septic shock**
• Severe … Adult No Age 18 years and
older****
Any ICD-10-CM diagnosis of the following:
• Septic shock**
• Severe … days > 27 days
or
age 1–17 years
Any ICD-10-CM diagnosis of the following:
• Septic shock**
• Severe … )
Neonatal No Age in days of 0–27 Any ICD-10-CM diagnosis of the following:
• Septic shock**
• Severe … Accessed November 10, 2023.
** Septic shock identified by ICD-10-CM diagnoses R6521 and T8112XA.
*** Severe
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psnet.ahrq.gov/node/848124/psn-pdf
April 26, 2023 - It’s like the way your car is constantly monitoring for severe deceleration when
you’re busy driving … When the car sees severe deceleration, it has the ability to determine whether it is a
crash, and then … It is geared toward severe events, not minor stuff. It’s running in the background. … George
mentioned the words severe and sustained events, and that’s really important. … You’re trying to address the problem of severe and sustained
events.
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digital.ahrq.gov/sites/default/files/docs/resource/b4_singh_017020_archives_17_part2.pdf
January 01, 2009 - ER visit, prolonged symptoms (e.g. 1 day or m
Severe: Severe or irreversible complications e.g. hospitalization
-
psnet.ahrq.gov/node/36356/psn-pdf
June 16, 2019 - ismp-medication-error-report-analysis-8
This monthly column discusses the value of learning from rare yet severe
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/hypertensive-disorders-pregnancy-screening
September 19, 2023 - The presence of any systemic signs or symptoms of severe hypertension (systolic blood pressure ≥160 mm … Hg or diastolic blood pressure ≥110 mm Hg) is indicative of preeclampsia with severe features; HELLP … Hypertensive disorders of pregnancy can quickly evolve into severe disease that can result in serious … The timing of delivery depends on gestational age and whether severe features of preeclampsia are present … Contribution of hypertension to severe maternal morbidity.
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psnet.ahrq.gov/issue/dangerous-wrong-route-errors-tranexamic-acid
February 18, 2014 - 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/issue/diagnostic-centers-excellence-x01-clinical-trial-not-allowed
May 04, 2016 - 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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hcup-us.ahrq.gov/reports/infographics/maternal_morbidity.jsp
September 01, 2018 - (Picture of HHS logo), (Picture of AHRQ Logo)
Factors Associated with Maternal Morbidity
Severe … Source: HCUP Stat Brief #243: Trends and Disparities in Delivery Hospitalizations Involving Severe