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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085episiotomycoding.xls
January 01, 2012 - Dystocia Condition/Diagnosis/Problem GROUPING n/a 2.16.840.1.113883.3.526.2.1488 "Shoulder Dystocia" … Dystocia Condition/Diagnosis/Problem GROUPING n/a 2.16.840.1.113883.3.526.2.1489 "Shoulder Dystocia" … Dystocia Condition/Diagnosis/Problem GROUPING n/a 2.16.840.1.113883.3.526.2.1490 "Shoulder Dystocia" … Dystocia Condition/Diagnosis/Problem ICD-10-CM 2012 O66.0 Obstructed labor due to shoulder dystocia … Dystocia Condition/Diagnosis/Problem SNOMED-CT 01/2012 89700002 shoulder girdle dystocia (disorder)
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ.html
July 01, 2023 - Delivery Units
Simulation Scenarios:
Postpartum hemorrhage ( Word , 752 KB; Text Version )
Shoulder
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies.html
July 01, 2023 - Word , 1.4 MB; Text Version )
Tool: Obstetric Hemorrhage ( Word , 660 KB; Text Version )
Tool: Shoulder
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www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-Episiotomy-FactSheet.pdf
November 01, 2015 - All patients, regardless of age, who
gave birth vaginally (without shoulder
dystocia), during a 12- … Babies with shoulder dystocia. Electronic medical
record.
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
August 01, 2022 - Shoulder dystocia management. 10 Following the adoption of the new protocol to prevent shoulder dystocia … , 99 percent of deliveries involving shoulder dystocia had a head-to-body delivery within 3 minutes, … in harm at the five participating hospitals, decreasing the rate of high-risk malpractice events for shoulder … Further, incidents of shoulder dystocia decreased 50 percent.
Shoulder dystocia-related claims. … d Shoulder dystocia is a labor complication that occurs when a baby’s shoulder is lodged behind the
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/intramuscular-injections.pdf
June 01, 2021 - intramuscular (IM) administration is important to make
sure the vaccine does its job and to avoid shoulder … It is located between the top of the
bony point at the end of the shoulder (acromion process) and the
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www.ahrq.gov/patient-safety/resources/simulation-issue-brief8.html
July 01, 2024 - Improving neonatal outcome through practical shoulder dystocia training.
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www.ahrq.gov/priority-populations/publications/index.html
February 01, 2025 - Strategies To Improve Management of Shoulder Dystocia Under the AHRQ Safety Program for Perinatal Care
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/learning-modules/feeling-stressed-flyer.pdf
November 01, 2021 - Physical
• Shallow breathing
• Increased heart rate
• Clenched teeth
• Upset stomach
• Headache
• Shoulders
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-slides.html
July 01, 2023 - designed for uncommon, but serious, obstetric emergencies requiring rapid recognition and response (e.g., shoulder … Shoulder dystocia.
Umbilical cord prolapse.
Uterine tachysystole.
Antepartum hemorrhage. … Improving neonatal outcome through practical shoulder dystocia training.
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
August 01, 2022 - practice model
The project reported a 50% drop in injuries caused by difficulties in delivery due to shoulder … dystocia (when the baby’s shoulder becomes lodged behind the mother’s pubic bone). … this project, a uniform, evidence-based obstetrics practice protocol was established for dealing with shoulder … after establishing the new guidelines, none of the 5 hospitals had any malpractice claims based on shoulder
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-fac-guide.html
July 01, 2023 - focus on these types of skills, such as cervical exam assessments, physical maneuvers for managing a shoulder … These emergencies could include shoulder dystocia, postpartum hemorrhage, cord prolapse, or eclamptic … Shoulder dystocia.
Umbilical cord prolapse.
Uterine tachysystole.
Antepartum hemorrhage. … may be required for some of the scenarios that require the use of specific physical maneuvers (e.g., shoulder
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www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
January 01, 2024 - .
- Med causes fall, breaks shoulder that results in frozen shoulder with
moderate pain requiring daily … No loss of function.
- Patient develops chronic but non-disabling shoulder pain after
slipping on ice … work.
6 Major stress /
frustration /
anxiety
-Doc does acceptable, but suboptimal, management of shoulder … 5 Moderate
stress /
frustration /
anxiety
- Doc does acceptable, but suboptimal, management of shoulder … -No mental stress.
1 No
consequence
-Doc does optimal management of shoulder dystocia during delivery
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.docx
May 01, 2017 - focus on these types of skills, such as cervical exam assessments, physical maneuvers for managing a shoulder … These emergencies could include shoulder dystocia, postpartum hemorrhage, cord prolapse, or eclamptic … Shoulder dystocia
3. Umbilical cord prolapse
4. Uterine tachysystole
5. Antepartum hemorrhage
6. … may be required for some of the scenarios that require the use of specific physical maneuvers (e.g., shoulder
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www.ahrq.gov/research/findings/final-reports/ssi/ssiape.html
April 01, 2018 -
BONE MARROW
BILE
SACRUM
SHOULDER
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-ape3.html
September 01, 2013 - Neck, shoulders, and chest.
Both arms and hands.
Abdomen then groin and perineum.
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www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-ape3.html
September 01, 2013 - Neck, shoulders, and chest.
Both arms and hands.
Abdomen then groin and perineum.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/patient-chg-showering-poster.docx
March 01, 2022 - the following areas of the body:
· Neck and chest, including under breasts for women
· Back of neck, shoulders
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.pdf
May 01, 2017 - focus on these types
of skills, such as cervical exam assessments,
physical maneuvers for managing a shoulder … These
emergencies could include shoulder dystocia,
postpartum hemorrhage, cord prolapse, or
eclamptic … Shoulder dystocia
3. Umbilical cord prolapse
4. Uterine tachysystole
5. Antepartum hemorrhage
6. … be
required for some of the scenarios that require
the use of specific physical maneuvers (e.g.,
shoulder
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/074-dec-patient-instructions-cloth.docx
October 01, 2024 - Shoulders, arms, hands, fingers, then armpits
Abdomen, then groin
Right leg, foot, & toes
Left leg