-
psnet.ahrq.gov/issue/nurses-patients-first-and-perhaps-last-line-defense
April 11, 2011 - March 29, 2023
Potentially inappropriate prescribing for adults living with diabetes … 15, 2023
Defining the landscape of patient harm after osteopathic manipulative treatment
-
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
-
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.
-
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.
-
psnet.ahrq.gov/periodic-issue/periodic-issue-446
May 29, 2024 - Global, regional and national time trends in incidence of adverse effects of medical treatment … describes patient safety, patient satisfaction, and financial savings for patients receiving radiation therapy … With a history of hypertension, diabetes, and heart failure, his vital signs were concerning, showing … a woman experienced persistent nausea and vomiting, leading to dehydration and multiple outpatient treatments … The commentary discusses how biases associated with medical conditions, such as obesity and its treatment
-
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.
-
psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice
September 06, 2023 - March 6, 2024
These patients had to lobby for correct diabetes diagnoses. … Advocates call for systemic change in treatment of pregnant people.
-
psnet.ahrq.gov/issue/overlooked-danger-delirium-hospitals
June 22, 2011 - July 6, 2011
Medical mystery: alcoholism didn’t cause man’s diabetes and cirrhosis. … October 5, 2016
Drug shortages forcing hard decisions on rationing treatments.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.179_slideshow.ppt
July 01, 2008 - withdrawal syndrome including the use of Clinical Opioid Withdrawal Scale (COWS) and pharmacologic treatments … facilities (licensed Opioid Agonist Therapy [OAT] programs)
Treating Opioid Withdrawal
Methadone … Comparison of pharmacological treatments for opioid-dependent adolescents: a randomized controlled trial … What Went Wrong
Patient’s worsening in the face of opioid agonist therapy should have triggered the … Relapse Rates in Chronic Illness
Comparing alcohol/drug disorders with other chronic diseases (e.g., diabetes
-
psnet.ahrq.gov/periodic-issue/periodic-issue-377
February 01, 2023 - The woman who cried pain: do sex-based disparities still exist in the experience and treatment … Women’s pain has been underestimated compared to men’s pain, and treatments differ based on gender. … WebM&M highlights two cases of hospital-acquired diabetic ketoacidosis (DKA) in patients with type 1 diabetes … The commentary discusses the role of the inpatient glycemic team to assist with diabetes management, … The patient returned to PICU with an open chest to optimize antibacterial and antifungal therapies for
-
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
-
psnet.ahrq.gov/issue/patient-safety-here-health-texas
August 19, 2020 - patients
December 4, 2019
Improving the quality of insulin prescribing for people with diabetes … October 9, 2019
Systematic review of malpractice litigation in the diagnosis and treatment
-
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
-
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
-
psnet.ahrq.gov/issue/association-between-hospital-characteristics-and-rates-preventable-complications-and-adverse
April 17, 2009 - Copy Citation
Related Resources From the Same Author(s)
Insulin treatment … as a tracer for identifying latent patient safety risks in home-based diabetes care.
-
psnet.ahrq.gov/issue/pediatric-adhd-medication-exposures-reported-us-poison-control-centers
November 28, 2018 - accompanied by an increase in patients receiving medications (usually stimulants such as methylphenidate) for treatment … November 4, 2014
Therapeutic errors involving diabetes medications reported to United … October 30, 2024
Unintentional therapeutic errors involving insulin in the ambulatory
-
psnet.ahrq.gov/issue/analgesic-related-medication-errors-reported-us-poison-control-centers
June 06, 2018 - September 27, 2023
Therapeutic errors involving diabetes medications reported to United … October 30, 2024
Unintentional therapeutic errors involving insulin in the ambulatory … June 16, 2019
Association of adverse effects of medical treatment with mortality in the
-
psnet.ahrq.gov/periodic-issue/periodic-issue-405
August 30, 2023 - Cognitive biases can influence treatment approach at the end of life. … treatment) were associated with clinician cognitive biases in acute care settings for patients with … Delayed diagnosis and treatment of stroke leads to adverse patient outcomes. … drug shortages on effective care as they contribute to the delay, cancelation, or rationing of needed treatments … Boe, MD | August 30, 2023
A 31-year-old pregnant patient with type 1 diabetes on an insulin pump
-
psnet.ahrq.gov/periodic-issue/periodic-issue-455
September 25, 2024 - Each LLM performed significantly worse than physicians, did not follow treatment or diagnostic guidelines … WebM&M Cases
Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy … Brittany Newton, PharmD and Roslyn Seitz, MPH, MSN | August 28, 2024
An adolescent with type 1 diabetes … Despite initial treatment, her condition did not improve as expected. … Once her actual weight was used to adjust treatment, her DKA resolved rapidly within 12 hours.
-
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