Current State and Future Direction of Postpartum Hemorrhage Risk Assessment

Abstract Objective This study aimed to evaluate the performance of the California Maternal Quality Care Collaborative (CMQCC) admission risk criteria for stratifying postpartum hemorrhage risk in a large obstetrics population. Study Design Using detailed electronic health record data, we classified 261,964 delivery hospitalizations from Kaiser Permanente Northern California hospitals between 2010 and 2017 into high-, medium-, and low-risk groups based on CMQCC criteria. We used logistic regression to assess associations between CMQCC risk groups and postpartum hemorrhage using two different postpartum hemorrhage definitions, standard postpartum hemorrhage (blood loss ≥1,000 mL) and severe postpartum hemorrhage (based on transfusion, laboratory, and blood loss data). Among the low-risk group, we also evaluated associations between additional present-on-admission factors and severe postpartum hemorrhage. Results Using the standard definition, postpartum hemorrhage occurred in approximately 5% of hospitalizations (n = 13,479), with a rate of 3.2, 10.5, and 10.2% in the low-, medium-, and high-risk groups. Severe postpartum hemorrhage occurred in 824 hospitalizations (0.3%), with a rate of 0.2, 0.5, and 1.3% in the low-, medium-, and high-risk groups. For either definition, the odds of postpartum hemorrhage were significantly higher in medium- and high-risk groups compared with the low-risk group. Over 40% of postpartum hemorrhages occurred in hospitalizations that were classified as low risk. Among the low-risk group, risk factors including hypertension and diabetes were associated with higher odds of severe postpartum hemorrhage. Conclusion We found that the CMQCC admission risk assessment criteria stratified women by increasing rates of severe postpartum hemorrhage in our sample, which enables early preparation for many postpartum hemorrhages. However, the CMQCC risk factors missed a substantial proportion of postpartum hemorrhages. Efforts to improve postpartum hemorrhage risk assessment using present-on-admission risk factors should consider inclusion of other nonobstetrical factors.

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Implementation of a Postpartum Hemorrhage Safety Bundle at an Urban Safety-Net Hospital

American Journal of Perinatology Reports ◽

10.1055/s-0040-1714713 ◽

2020 ◽

Vol 10 (03) ◽

pp. e255-e261

Author(s):

Naima T. Joseph ◽

Nikkia H. Worrell ◽

Janice Collins ◽

Melanie Schmidt ◽

Grace Sobers ◽

...

Keyword(s):

Risk Assessment ◽

Program Implementation ◽

Postpartum Hemorrhage ◽

Monitoring And Evaluation ◽

Safety Net ◽

Primary Objective ◽

Case Review ◽

Safety Net Hospital ◽

Urban Safety ◽

Hemorrhage Risk

Abstract Background Postpartum hemorrhage (PPH) is a leading cause of preventable maternal morbidity and mortality. Standardized response to obstetric hemorrhage is associated with significant improvement in maternal outcomes, yet implementation can be challenging. Objective The primary objective is to describe the methodology for program implementation of the Alliance for Innovation on Maternal Health Safety Bundle on PPH at an urban safety-net hospital. Methods Over an 18-month period, interventions geared toward (1) risk assessment and stratification, (2) hemorrhage identification and management, (3) team communication and simulation, and (4) debriefs and case review were implemented. Hemorrhage risk assessment stratification rates were tracked overtime as an early measure of bundle compliance. Results Hemorrhage risk assessment stratification rates improved to >90% during bundle implementation. Conclusion Keys to implementation included multidisciplinary stakeholder commitment, stepwise and iterative approach, and parallel systems for monitoring and evaluation Implementation of a PPH safety bundle is feasible in a resource-constrained setting.

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A Comprehensive Analysis of Image Forensics Techniques: Challenges and future Direction

Recent Patents on Engineering ◽

10.2174/1872212113666190722143334 ◽

2019 ◽

Vol 13 ◽

Cited By ~ 3

Author(s):

Mohd Dilshad Ansari ◽

Ekbal Rashid ◽

S Siva Skandha ◽

Suneet Kumar Gupta

Keyword(s):

Image Forensics ◽

Digital Era ◽

Current State ◽

Benchmark Datasets ◽

Passive Authentication ◽

Prime Objective ◽

Future Direction ◽

Source Of Information ◽

Research Domain ◽

Open Issues

Background: image forensics deal with the problem of authentication of pictures or their origins. There are two types of forensics techniques namely active and passive. Passive forgery is also known as blind forensics technique. In passive forgery, copy-move (cloning) image forensics is most common forgery technique. In this approach, an object or region of a picture is copied and positioned somewhere else in the same image. Active method used watermarking to solve picture genuineness problem. It has limitations like human involvement or particularly equipped cameras. To overwhelm these limitations, numerous passive authentication approaches have been developed. Moreover, both approaches do not require any prior information about the picture. Objective: The prime objective of this survey is to provide an inclusive summary as well as recent advancement, challenges and future direction in image forensics. In Today’s digital era the digital pictures and videos are having great impact on our life as well as society, as they became the important source of information. Though earlier it was very difficult to doctor the picture, nowadays digital pictures can be doctored easily with the help of editing tools and internet. These practices make pictures as well as videos genuineness deceptive. Conclusion: This paper presents the current state-of- the-art of passive (cloning) image forensics techniques, challenges and future direction of this research domain. Further, the major open issues in developing a robust cloning image forensics detector with their performance are discussed. Lastly, the available benchmark datasets are also discussed

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Current State of Cloud Computing Risk Assessment in Malaysian Private Sector

Proceedings of the 2020 6th International Conference on Computer and Technology Applications ◽

10.1145/3397125.3397142 ◽

2020 ◽

Author(s):

Nurbaini Zainuddin ◽

Rasimah Che Mohd Yusuff ◽

Ganthan Narayana Samy

Keyword(s):

Risk Assessment ◽

Cloud Computing ◽

Private Sector ◽

Current State

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Aneurysmal Subarachnoid Hemorrhage: Risk Assessment and Perioperative Complications

Essentials of Neurosurgical Anesthesia & Critical Care ◽

10.1007/978-3-030-17410-1_9 ◽

2019 ◽

pp. 63-66

Author(s):

Chanhung Z. Lee ◽

Pekka Talke ◽

Nerissa U. Ko

Keyword(s):

Risk Assessment ◽

Subarachnoid Hemorrhage ◽

Aneurysmal Subarachnoid Hemorrhage ◽

Perioperative Complications ◽

Hemorrhage Risk

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The Current State of Paediatric Orthopaedic Venous Thromboprophylaxis

Bulletin of The Royal College of Surgeons of England ◽

10.1308/147363513x13500508918214 ◽

2013 ◽

Vol 95 (1) ◽

pp. 1-4

Author(s):

J Wright ◽

S Randhawa ◽

C Gooding ◽

S Lowery ◽

D Eastwood ◽

...

Keyword(s):

Risk Assessment ◽

Venous Thromboembolism ◽

Adult Patient ◽

Quality Indicators ◽

Clinical Excellence ◽

Morbidity And Mortality ◽

Vte Prophylaxis ◽

Current State ◽

Paediatric Orthopaedic ◽

Hospital Inpatients

Venous thromboembolism (VTE) is widely understood to be an important cause both of morbidity and mortality in hospital inpatients. This has led to the development of guidelines for the management of VTE prophylaxis in adults by the national institute for Health and Clinical Excellence. In acknowledgement of the importance of this issue, there are government incentives in the form of Commissioning for Quality and innovation payments that are dependent on the performance of hospital trusts in certain quality indicators, such as risk assessment for VTE in the adult patient.

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The Current State-of-the Art in the Area of Nanotechnology Risk Assessment in Russia

Nanomaterials: Risks and Benefits - NATO Science for Peace and Security Series C: Environmental Security ◽

10.1007/978-1-4020-9491-0_24 ◽

2009 ◽

pp. 309-315 ◽

Cited By ~ 1

Author(s):

M. Melkonyan ◽

S. Kozyrev

Keyword(s):

Risk Assessment ◽

State Of The Art ◽

Current State

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THE CURRENT STATE OF PROJECT RISK ASSESSMENT AND EDUCATION NEEDS IN PROJECT RISK MANAGEMENT

CBU International Conference Proceedings ◽

10.12955/cbup.v7.1363 ◽

2019 ◽

Vol 7 ◽

Author(s):

Matej Masár ◽

Mária Hudáková

Keyword(s):

Risk Assessment ◽

Risk Management ◽

Project Managers ◽

Project Risk Management ◽

Project Risk ◽

Qualitative And Quantitative ◽

Current State ◽

The World ◽

Project Risks ◽

Project Risk Assessment

Current trends show that education in the field of project risk management is a very actual topic. Long - term projects, which was realized in 2018, was mainly focused on R&D across the world. Short - term projects, was focused on innovation and improve manufacturing processes. Many projects failed because project managers did not manage project risks. Project managers have less knowledge and skills on how to effectively manage project risks, especially risks in the planning phase of projects. The main aim of this article is to analyze the current state of usage project risk assessment across the world, based on own empirical research, which was provided, by authors in 2018 and 2019 (mainly level of usage project risk management methods, experience and level of education). The research focused on analyzing the current state of project risk assessment among continents. The authors focused on the average level of use qualitative and quantitative project risk analysis by project managers, level of project risk management experience by project managers and complexity of learning in using of qualitative and quantitative project risk management methods and tools. Some recommendation were established to educate project managers in the field of project risk management.

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