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Table 2. Definitions of Adverse Events
SIR Classification |
A |
No therapy, no consequences. |
B |
Nominal therapy, observation, no consequences. |
A or B |
Minor events with insufficient information to distinguish as Class A or B. |
C |
Required therapy, minor prolongation of hospitalization (< 48 hours) or rehospitalization for < 48 hrs. |
D |
Major therapy, unplanned increase level of care, prolonged hospitalization (48 hours or longer) or rehospitalization for longer than 48 hrs. |
E |
Permanent adverse sequelae. |
F |
Death. |
Minor complications |
Class A, B. |
Major complications |
Classes C, D, E, F. |
ACOG Classification |
Febrile morbidity |
Occurrence of infection not present on admission or initiation of antibiotics > 24 hrs after surgery. |
Readmission |
Unplanned readmission within 14 days or admission after return visit to the emergency department for the same problem. |
Unintended surgery |
Unplanned removal, injury or repair of organ during operative procedure or unplanned return to operating room for surgery during the same admission. |
Hemorrhage |
Gynecologic surgery with 2 or more units of blood, post-operative hematocrit of < 24%, or post-operative hemoglobin concentration of < 8 g/dl. |
Life-threatening complications |
Cardiopulmonary arrest, resuscitation, unplanned admission to special (intensive) care unit, or death. |
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