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Background: Liberal or overtransfusion (OT) may be regarded as "inappropriate," but it is not reported as a transfusion-related adverse event. A definition of OT is lacking. OT may include overdosing of components, giving the incorrect component, or unnecessary administration without evidence of need for transfusion.
View Article and Find Full Text PDFImproving the process of evaluating the quality of care in "maternal near miss" at hospital level: an action research study protocol.
Reprod Health
December 2024
Reproductive health, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Article Synopsis
- * It involves group discussions with medical professionals and a review of hospital records to identify the causes of severe morbidity incidents and to implement preventive measures.
- * The final assessment of care quality will lead to further cycles of action research, ultimately aiming to present findings and enhance decision-making in maternal healthcare.
Cross-sectional study evaluating the effectiveness of the Mozambique-Canada maternal health project abstraction tool for maternal near miss identification in Inhambane province, Mozambique.
BMJ Open
December 2024
Community Health and Epidemiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Objectives: The objectives of this study are to determine whether the additional clinical criteria of the Mozambique maternal near miss abstraction tool enhance the effectiveness of the original WHO abstraction tool in identifying maternal near miss cases and also evaluate the impact of sociodemographic factors on maternal near miss identification.
Design: Cross-sectional study.
Setting: Two secondary referral hospitals in Inhambane province, Mozambique from 2021 to 2022.
The usefulness of a 28-item Therapeutic Intervention Scoring System (TISS-28) in critically ill obstetric patients to detect multiorgan dysfunction: A prospective cohort study.
Aust Crit Care
November 2024
Faculty of Medicine, Nursing and Health Sciences Monash University, Clayton, Australia.
Background: This study evaluated the effectiveness of the 28-item Therapeutic Intervention Scoring System (TISS-28) in detecting multiorgan dysfunction (MOD) among critically ill obstetric patients and compared its predictive potential to other severity models, such as Sequential Organ Failure Assessment (SOFA) and Mortality Probability Model II (MPM II).
Methods: A prospective multicentre cohort study was conducted including obstetric patients, pregnant and up to 42 days postpartum, admitted to the intensive care units of two referral hospitals in Colombia. A total of 93 patients were recruited between March 2016 and February 2017 and from September 2019 to November 2019.
Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children.
BMC Emerg Med
November 2024
Prehospen-Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.
Background: The emergency medical service (EMS) addresses all chief complaints across all ages in various contexts. Children in EMS present a particular challenge due to their unique anatomical and physical properties, which require specific training that EMS clinicians often report lacking. This combination exposes children to incidents threatening patient safety.
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