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psnet.ahrq.gov/issue/joshuas-story
February 26, 2014 - features an in-depth interview with the father of an infant who died following delayed diagnosis and treatment … January 31, 2018
National Diabetes Inpatient Audit -- Harms.
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psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
July 01, 2008 - Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy
Citation … Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy. … Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy. … The Case A 16-year-old girl with type 1 diabetes presented to the emergency department (ED) complaining … WebM&M Cases
Inpatient Stroke Management in an Adolescent with Type 1 Diabetes
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psnet.ahrq.gov/issue/medication-errors-dosing-insulin-problems-across-continuum
March 14, 2012 - 2018
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment … September 18, 2013
Medication errors common for hospital diabetes.
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psnet.ahrq.gov/node/49574/psn-pdf
November 01, 2008 - https://psnet.ahrq.gov/web-mm/mid-summer-fog
The Case
A 33-year-old woman with type I diabetes mellitus … The patient responded quickly to
treatment with D50 and had a full recovery once the error in insulin … ACE/ADA Task Force on Inpatient Diabetes. … diabetes and glycemic control: a call to action. … Diabetes
Care. 2006;29:1955-1962. [go to PubMed]
2. Englesbe MJ, Pelletier SJ, Magee JC, et al.
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psnet.ahrq.gov/issue/heart-disease-iuds-how-doctors-dismiss-womens-pain
September 29, 2021 - September 29, 2021
Medical mystery: alcoholism didn’t cause man’s diabetes and cirrhosis … August 19, 2020
Fear of Covid-19 leads other patients to decline critical treatment.
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psnet.ahrq.gov/issue/fda-advise-err-prevent-dangerous-drug-device-interaction-causing-falsely-elevated-glucose
May 02, 2018 - 2018
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment … May 7, 2018
Medical mystery: alcoholism didn’t cause man’s diabetes and cirrhosis.
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psnet.ahrq.gov/issue/balancing-just-culture-regulatory-standards
December 13, 2023 - Same Author(s)
Defining the landscape of patient harm after osteopathic manipulative treatment … May 11, 2022
Potentially inappropriate prescribing for adults living with diabetes mellitus
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psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
October 28, 2020 - Crisis may also occur in patients who are receiving treatment for AI if they miss their daily medications … Testing and treatment of adrenal insufficiency are complicated and best directed by an endocrinologist … WebM&M Cases
Inpatient Stroke Management in an Adolescent with Type 1 Diabetes … Cases
Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy … May 1, 2011
WebM&M Cases
Adolescent Diabetes: A
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psnet.ahrq.gov/issue/nonfatal-unintentional-medication-exposures-among-young-children-united-states-2001-2003
February 27, 2019 - October 25, 2017
FDA requires label warnings to prohibit sharing of multi-dose diabetes … November 17, 2011
Preventing Infections During Cancer Treatment.
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psnet.ahrq.gov/issue/medication-safety-look-alikesound-alike-drugs-home-care
February 03, 2021 - February 3, 2010
Insulin treatment as a tracer for identifying latent patient safety … risks in home-based diabetes care.
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psnet.ahrq.gov/node/49518/psn-pdf
August 01, 2006 - to his physician's office to discuss his diabetes
management. … We administer injection therapies, including vaccinations, vitamin B12, intramuscular antibiotics and … Finally, we may offer urgent
treatments with triptans for acute migraine, albuterol for asthma, epinephrine … Insulin errors and injuries are
common among hospitalized patients.(4-9) The risk of treatment-related … A systems approach to reducing errors in insulin therapy in the inpatient setting.
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psnet.ahrq.gov/issue/patient-safety-investigating-and-reporting-serious-clinical-incidents
November 10, 2017 - 2014
Root cause analysis reports help identify common factors in delayed diagnosis and treatment … May 16, 2012
Patient safety systems in the primary health care of diabetes—a story of
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psnet.ahrq.gov/issue/decisions-and-repercussions-second-victim-experiences-mothers-medicine-save-dr-mom
May 18, 2022 - Participants reported a wide variety of errors; treatment errors were the most common but diagnostic … Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes.
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psnet.ahrq.gov/sites/default/files/2024-03/delayed_diagnosis_and_treatment_of_sle.pdf
January 01, 2024 - Microsoft PowerPoint - Spotlight Case_Delayed Diagnosis and Treatment of Lupus_SLIDES - FINAL.pptx … Spotlight
Delayed Diagnosis and Treatment of Systemic Lupus
Erythematosus with a Psychiatric Presentation … a Comparison of Rheumatoid Arthritis, Systemic Lupus
Erythematosus, Multiple Sclerosis and Type 1 Diabetes … Anti-NMDA receptor encephalitis: diagnosis, psychiatric presentation, and treatment. … Neuropsychiatric lupus: new mechanistic insights and future treatment directions.
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psnet.ahrq.gov/issue/establishing-culture-patient-safety-role-education
August 23, 2017 - August 23, 2017
Reporting medication errors: residents with diabetes. … impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.84_slideshow.ppt
December 01, 2004 - her discharge medications revealed an inadvertent addition of Amaryl (glimepiride, a medication for diabetes … Therefore, diagnostic and therapeutic errors may be even more common than we know right now. … Patient Factors Associated with Adverse Events at Discharge
Increased length of stay
Diagnosis of diabetes … On the other hand if the diarrhea is picked up early and the patient responds to treatment, it will not … Checklist for Patient
Do you understand why you were hospitalized, what your diagnosis is, and what treatments
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.233_slideshow.ppt
February 01, 2011 - *
Case: One Toxic Drug (2)
Prior to therapy, the physician did not refer the patient for a liver … After 6 weeks of therapy, the HCV viral load was unchanged, and the patient exhibited pancytopenia. … After 9 months of treatment, a viral load was repeated and was again found to be more than 2,000,000 … (ii) no genotype performed to help guide length of therapy; (iii) no baseline labs to see if the patient … Effect of board certification on antihypertensive treatment intensification in patients with diabetes
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psnet.ahrq.gov/issue/i-thought-daniel-was-safe-nhs-he-wasnt
March 24, 2021 - March 18, 2020
Making Hospitals Safe for People With Diabetes. … September 14, 2022
Addiction treatment providers in Pa. face little state scrutiny despite
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psnet.ahrq.gov/issue/global-burden-diagnostic-errors-primary-care
May 25, 2022 - Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment … August 8, 2013
Patient safety systems in the primary health care of diabetes—a story
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psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-list-immediate-release
July 21, 2021 - October 13, 2021
Potentially inappropriate prescribing for adults living with diabetes … June 15, 2022
Health disparities: impact of health disparities and treatment decision-making