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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/issue/work-nurses-provide-good-and-safe-services-children-receiving-hospital-home-qualitative
March 08, 2023 - 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/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
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psnet.ahrq.gov/node/74022/psn-pdf
March 01, 2021 - formulations,1 and specialty
pharmacies where patients receive outpatient care for complex medication therapies … process, the
community pharmacist provides a clinical review of prescribed medications to ensure the therapies … facilitate access to the
emergency opioid reversal drug Narcan® (naloxone) as well as substance abuse treatment … immunizations, opioid management, smoking cessation efforts, and
management of chronic diseases such as diabetes … pharmacists, increasing their likelihood to seek counseling, address
concerns regarding their medication therapy
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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
-
psnet.ahrq.gov/node/49733/psn-pdf
May 01, 2015 - 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 … American Diabetes Association
Transitions Working Group.
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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/sites/default/files/import/webmm.ahrq.gov.182_slideshow.ppt
September 01, 2008 - The Presented Case
Glucocorticoids not helpful in Strongyloides stercoralis
Proper therapeutic regimen … of RA
Randomized trial compared treatment strategies:
Initial combination therapy with methotrexate … , sulfasalazine, and rapidly tapered high-dose prednisone therapy
Initial combination therapy with methotrexate … disease”
Drug can be stopped if patient does not improve, or if cause for which there are specific therapies … manifestations of the infections (e.g., Pneumocystis carinii lung disease and tuberculous pneumonia)
Diabetes
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psnet.ahrq.gov/issue/second-victim-phenomenon-after-clinical-error-design-and-evaluation-website-reduce-caregivers
October 11, 2017 - July 11, 2018
Artificial intelligence will improve medical treatments. … June 20, 2018
The challenges of electronic health records and diabetes electronic prescribing
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psnet.ahrq.gov/issue/association-inappropriate-outpatient-pediatric-antibiotic-prescriptions-adverse-drug-events
March 05, 2008 - sets of criteria for potentially inappropriate prescribing in older people to identify inadequate drug treatment … Related Resources
Potentially inappropriate prescribing for adults living with diabetes
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psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident
October 12, 2016 - A mixed-methods analysis of patient safety incidents involving opioid substitution treatment … April 10, 2013
Patient safety systems in the primary health care of diabetes—a story
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psnet.ahrq.gov/web-mm/hold-order
December 19, 2018 - endoscopic procedure and, after the procedure, wrote orders for the patient to receive all of the previous treatments … These lists could prompt prescribers to reorder medication therapies that were discontinued for procedures … case presented in this commentary, a 25-year-old woman experienced elevated sodium levels after DDAVP therapy … if the intern further clarified the order to indicate what should be done with the patient's DDAVP therapy … The intern could have indicated to restart therapy the next day or based on the patient's sodium levels
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psnet.ahrq.gov/issue/effect-contextual-factors-prevalence-diagnostic-errors-among-patients-managed-physicians-same
February 02, 2022 - WebM&M Cases
Sepsis Resulting from Delays in Treatment … April 9, 2013
Miscoding, misclassification and misdiagnosis of diabetes in primary care
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psnet.ahrq.gov/issue/fda-recommends-health-care-professionals-discuss-naloxone-all-patients-when-prescribing
December 16, 2020 - This announcement outlines new federal labeling requirements for opiates and treatments for opioid use … Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - 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 medications … On the other hand, if the diarrhea is picked up early and the patient responds to treatment, it will
-
psnet.ahrq.gov/node/49560/psn-pdf
April 01, 2008 - https://psnet.ahrq.gov/web-mm/wrongful-resuscitation
The Case
An 80-year-old man with diabetes, … In a review of 17 narratives from the Study to Understand Prognoses and Preferences for
Risks of Treatments … However, when the
advanced directives were recognized, they influenced treatment decisions in 86% of … Does the patient have preferences that should help guide his
or her treatment decisions? … The study to understand
prognoses and preferences for outcomes and risks of treatments (SUPPORT).
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.365_slideshow.ppt
January 01, 2016 - nursing care
3
3
Case: A Room Without Orders
A 56-year-old man with acute lymphoblastic leukemia and diabetes … Direct Admissions
Planned direct admissions occur when a patient is pre-scheduled for a procedure or treatment … all providers and the patient is essential to ensure that everyone has a clear understanding of the treatment … patient arrival
Pre-completed admission order sets for planned admissions for procedures and scheduled treatments … admission orders
The oncoming staff nurse should have contacted the admitting provider for orders
The treatment
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psnet.ahrq.gov/issue/relationship-between-professional-burnout-and-quality-and-safety-healthcare-meta-analysis
April 24, 2018 - November 16, 2022
Making surgical wards safer for patients with diabetes: reducing hypoglycaemia … October 11, 2017
Clinicians' expectations of the benefits and harms of treatments, screening
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psnet.ahrq.gov/web-mm/reconciling-doses
August 14, 2017 - Case & Commentary: Part 1 A 68-year-old man with a history of diabetes and atrial fibrillation maintained … Further examination revealed an area of cellulitis, and intravenous antibiotic therapy was changed accordingly … verify the information, and physicians use the resulting list to aid in making decisions about drug therapy … This comparison is useful to screen for therapeutic duplication, possible drug interactions, omissions … Reconciliation at discharge is necessary to avoid therapeutic duplication, drug interactions, and omissions
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psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - The Case
A 63-year-old man with diabetes mellitus complicated by retinopathy, neuropathy, and nephropathy … via outpatient parenteral antimicrobial therapy. … osteomyelitis.( 7 )
Patients with kidney disease often have underlying systemic diseases such as diabetes … Medical conditions (such as diabetes) that cause kidney failure often require extensive health care with … Related Resources From the Same Author(s)
WebM&M Cases
More Treatment—Better