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psnet.ahrq.gov/issue/2019-update-medical-overuse-review
May 05, 2021 - study
February 12, 2020
To expand the evidence base about harms from tests and treatments … April 26, 2023
Potentially inappropriate prescribing for adults living with diabetes
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psnet.ahrq.gov/node/49807/psn-pdf
October 01, 2017 - same symptoms and, after a normal physical examination, she was prescribed
meclizine for symptomatic treatment … Miscommunications from poor translation can lead to delayed diagnoses and
treatment, causing injury … J Diabetes Sci Technol.
2012;6:927-937. [go to PubMed]
14. Seligman M, Dillinger M. … Evaluating the accuracy of Google Translate for diabetes education
material. … JMIR Diabetes. 2016;1:e3. [Available at]
16. Betancourt JR, Renfrew MR, Green AR, et al.
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psnet.ahrq.gov/node/49511/psn-pdf
May 01, 2006 - https://psnet.ahrq.gov/web-mm/citrate-mix
The Case
A 36-year-old woman with multiple sclerosis, diabetes … and chronic renal failure was transferred from a
skilled nursing facility (SNF) to the hospital for treatment … This error led to increased patient monitoring and drug treatment to normalize the serum potassium and … In spite of the patient's pre-existing renal disease and diabetes, no permanent harm resulted; the
outcome … citrate agents that inform staff of their differences and suggest therapeutic alternatives.
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psnet.ahrq.gov/issue/do-not-pimp-my-nursing-home-ride-impact-potentially-inappropriate-medications-prescribing
March 17, 2021 - September 9, 2020
The challenges of electronic health records and diabetes electronic … 2023
Association of polypharmacy and potential drug-drug interactions with adverse treatment
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psnet.ahrq.gov/issue/preventing-patient-harm-adverse-event-review-apsa-survey-regarding-role-morbidity-and
May 22, 2019 - Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes … August 10, 2022
WebM&M Cases
Delayed Diagnosis and Treatment
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psnet.ahrq.gov/issue/safety-home-care-use-internet-video-calls-double-check-interventions
August 04, 2021 - August 26, 2011
Insulin treatment as a tracer for identifying latent patient safety risks … in home-based diabetes care.
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psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
August 04, 2021 - This was her second pregnancy, as she had had a therapeutic abortion 4 years previously. … Many youth may not understand that a surgical repair of a congenital anomaly or that a past treatment … Diabetes Care. 2008;31:1529-1530. [go to PubMed] 17. … Diabetes care for emerging adults: recommendations for transition from pediatric to adult diabetes care … American Diabetes Association Transitions Working Group.
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psnet.ahrq.gov/perspective/conversation-heidi-wald-md
November 26, 2019 - The therapeutic window for many of our interventions is much narrower in these patients. … Our guidance for frail older patients with diabetes is a more liberal approach to blood sugar control … Medication is such a key part of our therapeutic efforts. … However, there is a narrower therapeutic window in our frail older patients. … Frail older patients are at risk of unintended consequences from procedures and treatments.
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psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
November 26, 2019 - Frail older patients are at risk of unintended consequences from procedures and treatments. … The therapeutic window for many of our interventions is much narrower in these patients. … Our guidance for frail older patients with diabetes is a more liberal approach to blood sugar control … Medication is such a key part of our therapeutic efforts. … However, there is a narrower therapeutic window in our frail older patients.
-
psnet.ahrq.gov/node/49470/psn-pdf
December 01, 2004 - her discharge
medications revealed an inadvertent addition of Amaryl (glimepiride, a medication for diabetes … Lastly, diagnostic and therapeutic errors account for approximately 10% of post-discharge adverse
events … The frequency of diagnostic and therapeutic errors may be underestimated. … With respect to patient factors, longer lengths of
stay, a diagnosis of diabetes mellitus, and more … On the other
hand, if the diarrhea is picked up early and the patient responds to treatment, it will
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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
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psnet.ahrq.gov/issue/non-health-care-facility-medication-errors-resulting-serious-medical-outcomes
June 14, 2017 - December 21, 2018
Therapeutic errors involving diabetes medications reported to United … October 30, 2024
Unintentional therapeutic errors involving insulin in the ambulatory … April 12, 2019
Association of adverse effects of medical treatment with mortality in … January 16, 2019
Improving adherence to long-term opioid therapy guidelines to reduce … 14, 2018
Patient outcomes in dose reduction or discontinuation of long-term opioid therapy
-
psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
June 01, 2015 - One point to support a search is that there are more and more relatively specific therapies for parasitic … Let us hope that the proper therapeutic regimen (including antiinfectives and discontinuing the glucocorticoids … The exceptions must be diseases that are chronic and prolonged for which there are no more therapeutic … Diabetes mellitus. Poorly controlled hypertension. … February 1, 2010
WebM&M Cases
Adolescent Diabetes
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psnet.ahrq.gov/issue/2019-update-pediatric-medical-overuse-systematic-review
May 11, 2019 - May 1, 2024
Potentially inappropriate prescribing for adults living with diabetes mellitus … June 25, 2018
Clinicians' expectations of the benefits and harms of treatments, screening
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - setting.( 8-11 ) One study found that 15% of abnormal outpatient laboratory test results suggestive of diabetes … up by patients' clinicians, and about 9% of these patients likely had unrecognized (and untreated) diabetes … also improve patient satisfaction with communication of test results and satisfaction with subsequent treatment … The frequency of missed test results and associated treatment delays in a highly computerized health … allowing the use of surrogates during planned absences • Ability to order additional tests or treatments
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psnet.ahrq.gov/node/33647/psn-pdf
March 01, 2007 - Amazingly, less than a year later, she returned to her hospital for emergency treatment. … physicians and nurses to many potential sentinel events.(1) A 5-year-old girl
hospitalized for cancer treatment … Their medical condition and treatment, knowledge, and language barriers may
prevent them from being … Many other performance measures (such as hemoglobin A1c in the
treatment of people with diabetes or
-
psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
July 21, 2025 - led to patients delaying or forgoing necessary health care, which can contribute to diagnostic and treatment … decreases in diagnoses and associated medication prescriptions for circulatory system diseases and type 2 diabetes
-
psnet.ahrq.gov/issue/medicine-and-rise-robots-qualitative-review-recent-advances-artificial-intelligence-health
July 14, 2010 - community hospital
August 25, 2021
Artificial intelligence will improve medical treatments … Smart technology, safety and therapeutic relationships. … July 12, 2017
The challenges of electronic health records and diabetes electronic prescribing … Information Professionals
Medicine
Epidemiology of Errors and Adverse Events
Computer-Assisted Therapy
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psnet.ahrq.gov/issue/obtaining-best-possible-medication-history-hospital-admission-description-pharmacy-technician
October 31, 2023 - March 31, 2021
Effect of cognitive aids on adherence to best practice in the treatment … changes in older people with multimorbidity: a multicentre mixed-methods study embedded in the OPtimising thERapy … December 7, 2022
WebM&M Cases
Challenges of Diabetes … March 9, 2022
Impact of clinical decision support therapeutic interchanges on hospital
-
psnet.ahrq.gov/issue/observational-study-laterality-errors-sample-clinical-records
April 19, 2011 - incidence of laterality errors (transposition of left and right eyes in documenting abnormalities or treatments … Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes