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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/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/node/49660/psn-pdf
August 01, 2012 - 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 … and allowing the use of surrogates during planned absences
• Ability to order additional tests or treatments
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psnet.ahrq.gov/node/49489/psn-pdf
September 01, 2005 - take an active role in their pharmaceutical care
Case & Commentary: Part 1
A 79-year-old man with diabetes … Starting therapy in an elderly patient with a single agent is generally a safer
strategy, and many patients … patients, including
(i) the “start low and go slow” philosophy when initiating and intensifying a therapeutic … required rehospitalization and 3% resulted in death.(3) Of particular note,
this study identified type 2 diabetes … The patient was readmitted to hospital and given fluids intravenously; the antibiotic
therapy was stopped
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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
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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/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/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
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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/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/issue/classification-patient-safety-incidents-primary-care
October 12, 2016 - A mixed-methods analysis of patient safety incidents involving opioid substitution treatment … November 14, 2011
Patient safety systems in the primary health care of diabetes—a story
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psnet.ahrq.gov/issue/preliminary-development-and-testing-global-trigger-tool-detect-error-and-patient-harm-primary
January 19, 2011 - January 2, 2017
Miscoding, misclassification and misdiagnosis of diabetes in primary … January 19, 2012
Are opioid dependence and methadone maintenance treatment (MMT) documented
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psnet.ahrq.gov/issue/clinical-evaluation-ade-scorecards-decision-support-tool-adverse-drug-event-analysis-and
December 31, 2014 - February 9, 2011
Insulin treatment as a tracer for identifying latent patient safety … risks in home-based diabetes care.
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psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
October 12, 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
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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
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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/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/issue/experiences-physicians-investigated-professionalism-concerns-narrative-review
August 04, 2021 - December 21, 2022
Potentially inappropriate prescribing for adults living with diabetes … September 29, 2017
Clinicians' expectations of the benefits and harms of treatments,
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psnet.ahrq.gov/node/838221/psn-pdf
September 28, 2022 - For chronic diseases like hypertension or diabetes,
what we found was that a high percentage of people … This
helped them overcome personal health barriers, so they’d be ready to get treatment. … Improve diabetes
management, improve congestive heart failure management, and you decrease rates of … Or when someone has diabetes that’s out of control with an elevated hemoglobin
A1c, or when someone … and they have a
variety of interventions, mental health and acupuncture, a variety of integrative therapies
-
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.