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psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
September 27, 2023 - Some aspects of treatment during the index visit were appropriate. … Extremes of age, diabetes mellitus, history of smoking, peripheral arterial disease, chronic renal failure … : wound length greater than 5 cm, location on the extremities, contamination with foreign material, diabetes … Diagnosis and treatment of retained foreign bodies in the hand. … WebM&M Cases
Inpatient Stroke Management in an Adolescent with Type 1 Diabetes
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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/hemolysis-holdup
July 03, 2016 - due to nonischemic cardiomyopathy, stage 3 chronic kidney disease, atrial fibrillation, and type 2 diabetes … due to hemolysis, but felt that the patient should be admitted to the hospital for further workup and treatment … have been consistent with hyperkalemia (high potassium levels), but she did not institute immediate treatment … In this case, the hospitalist probably should have instituted treatment for hyperkalemia before the results … the patient had electrocardiographic changes consistent with hyperkalemia and the risk of instituting treatment
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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/web-mm/translating-normal-abnormal
October 02, 2019 - 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 and … 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/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/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
May 01, 2009 - past medical history included cataract surgery, hypertension controlled with medications, and type 2 diabetes … Provision of care, treatment, and services. Standards 11.10-100. … Provision of care, treatment, and services. Standards 11.10-100. … setting, all new changes in mental status should be assumed to be delirium until proven otherwise
The treatment … delirium; incorporating them into the plan of care is strongly recommended
Adherence to Treatment
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psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
October 10, 2017 - Other medical problems included type II diabetes mellitus, hypertension, hyperlipidemia, and right lower … Often treatment with an oral antibiotic agent is an appropriate alternative to IV antibiotic therapy. … Vancomycin is an antibiotic with a narrow therapeutic window; if the dose is subtherapeutic (too low) … adverse effects or sub- or supra-therapeutic drug levels. … WebM&M Cases
Inpatient Stroke Management in an Adolescent with Type 1 Diabetes
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psnet.ahrq.gov/web-mm/outpatient-zebra
January 23, 2020 - Prior to that time, the patient underwent a diagnostic evaluation for osteomyelitis and received treatment … Fortunately, the patient ultimately received the correct diagnosis and therapy with a desirable outcome … with each patient and often compromise the time they need to generate a differential diagnosis and treatment … must demonstrate to the residents how to alter the clinical approach if the initial diagnostic and treatment … Error
May 26, 2021
WebM&M Cases
Challenges of Diabetes
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psnet.ahrq.gov/node/49556/psn-pdf
March 01, 2008 - Because of her
previous pituitary resection and radiation, the patient had a long history of central diabetes … For
example, oral medications for diabetes (which can lead to hypoglycemia if patients are not eating … 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 … 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/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - TFFRS – Diabetes prevention: Interventions engaging community health workers. … This helped them overcome personal health barriers, so they’d be ready to get treatment. … pain and they have a variety of interventions, mental health and acupuncture, a variety of integrative therapies … people’s lives, sending them out to do things they don’t need to do, and avoid unnecessary tests or treatments … to translate that complex medical jargon related to national guidelines around preventive care and treatments
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - Information Systems
(76)
Electronic Health Records
(62)
Computer-Assisted Therapy … Allied Health Services
(13)
Nutrition/Dietetics
(3)
Physical and Occupational Therapy … acted upon
Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy … Facebook
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Linkedin
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An adolescent with type 1 diabetes … The gynecologist made a presumptive diagnosis of DVT and put her on subcutaneous dalteparin at therapeutic
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psnet.ahrq.gov/issue/diagnostic-reliability-teledermatology-systematic-review-and-meta-analysis
September 23, 2020 - Telemedicine can improve access to specialist care and reduce time to treatment.
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psnet.ahrq.gov/node/49793/psn-pdf
May 01, 2017 - due to nonischemic cardiomyopathy, stage 3 chronic
kidney disease, atrial fibrillation, and type 2 diabetes … to hemolysis, but felt that the
patient should be admitted to the hospital for further workup and treatment … have been consistent with hyperkalemia (high potassium
levels), but she did not institute immediate treatment … In this case, the hospitalist
probably should have instituted treatment for hyperkalemia before the … patient had electrocardiographic changes consistent with hyperkalemia and the risk of
instituting treatment
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psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
June 02, 2021 - The Case
A 62-year-old man with a history of diabetes presented to a rural emergency department (ED … may have additional non-ED responsibilities (such as helping out on a small inpatient unit), making treatment … patients in rural hospitals can enhance the detection of subtle abnormalities and can improve early treatment … Incidence and predictors of silent myocardial infarction in type 2 diabetes and the effect of fenofibrate … : an analysis from the Fenofibrate Intervention and Event Lowering in Diabetes (FIELD) study.
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psnet.ahrq.gov/node/865412/psn-pdf
March 27, 2024 - Delayed Diagnosis and Treatment of Systemic Lupus
Erythematosus with a Psychiatric Presentation
March … Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a
Psychiatric Presentation. … a Comparison of Rheumatoid Arthritis, Systemic Lupus Erythematosus,
Multiple Sclerosis and Type 1 Diabetes … Anti-NMDA receptor encephalitis: diagnosis, psychiatric presentation, and
treatment. … Neuropsychiatric lupus: new mechanistic insights and future
treatment directions.
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psnet.ahrq.gov/node/49674/psn-pdf
December 01, 2012 - The case
presented illustrates both the ability of PICCs to provide advanced therapies outside the hospital … gauge and length of a catheter with the
fewest number of lumens to accommodate and manage prescribed therapy … The risk of thrombosis is
also higher in patients with obesity, cancer, diabetes, and catheter insertions … case presented represents the diverse and sometimes fractured approach to the delivery of
intravenous treatments … Coordination of care is challenging, especially when treatment is continued into the
home.
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psnet.ahrq.gov/node/866578/psn-pdf
August 28, 2024 - Don’t Wait to Collect an Accurate Weight: A Case of
Subtherapeutic Insulin Therapy
August 28, 2024 … Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy. … The Case
A 16-year-old girl with type 1 diabetes presented to the emergency department (ED) complaining … Despite aggressive treatment with insulin drip at a basal rate of 0.1 unit/kg, her
blood glucose remained … The Commentary
By Brittany Newton, PharmD, and Roslyn Seitz, MPH, MSN
Treatment of DKA is characterized
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psnet.ahrq.gov/node/840175/psn-pdf
November 16, 2022 - notable
for having had an aortic valve replaced with a titanium valve and chronic management at a therapeutic … atrial
fibrillation, history of a stroke or TIA, or risk factor(s) for stroke, such as hypertension, diabetes … the emergency
department (ED), only that she was chronically anticoagulated using warfarin “with a therapeutic … Without
administering such a bolus, it may take 12-24 hours to reach a therapeutic heparin level. … Antithrombotic and thrombolytic therapy for valvular disease:
Antithrombotic Therapy and Prevention
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psnet.ahrq.gov/node/49850/psn-pdf
January 01, 2019 - set in question was developed to support a relatively complex
clinical workflow: administration of therapeutic … anticoagulation treatment with unfractionated heparin. … In the case described, one such metric might have been time from initiation of heparin to the
first therapeutic … This case involved a substantial change to an existing order set for therapeutic heparin: The ordering … J Diabetes Sci Technol. 2008;2:349-356.