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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/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/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.
-
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/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/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/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
-
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/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
-
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
-
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
-
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
-
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
-
psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - The Case
A 45-year-old man with a history of insulin-dependent diabetes mellitus was seen in the emergency … A bed was requested in the intensive care unit (ICU) for treatment of diabetic ketoacidosis. … intravenous to subcutaneous insulin
Communication of all patient-specific information related to diabetes … September 9, 2013
Adverse drug reactions and therapeutic errors in older adults: a hazard … February 1, 2023
WebM&M Cases
Challenges of Diabetes
-
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
-
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
-
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
-
psnet.ahrq.gov/primer/electronic-health-records
March 15, 2025 - system creates a seamless, legible, comprehensive, and enduring record of a patient's health history and treatment … Similarly, in a case study of electronic prescribing for patients with diabetes in a safety net clinic … recommended universal medication scheduling practices for instructing patients when to take their diabetes … health literacy and low English proficiency and can thereby reduce mistakes in adherence to prescribed therapy … of interface may result in errors in clinical decision making and contribute to errors or delays in treatment
-
psnet.ahrq.gov/web-mm/citrate-mix
February 01, 2010 - 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 of an infection. … 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.