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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
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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/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/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.
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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/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
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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/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/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/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/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/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/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/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/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/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
Twitter
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/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
May 01, 2015 - illness progressed and in discussions with her family, the decision was made to withdraw life-sustaining therapies … blood cell (WBC) count > 12x109/L or < 4x109/L
Hyperglycemia (glucose > 140 mg/dL) in the absence of diabetes … Early goal-directed therapy in the treatment of severe sepsis and septic shock. … Early goal-directed therapy in the treatment of severe sepsis and septic shock. … Such treatment could have altered her hospital course
27
27
Take-Home Points
Sepsis, severe sepsis
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psnet.ahrq.gov/issue/insulin-pumps-have-most-reported-problems-fda-database
October 03, 2018 - October 3, 2018
Mounting drug shortages delay treatments for patients with bladder cancer
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psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
October 01, 2017 - 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/web-mm/wrongful-resuscitation
October 12, 2012 - The Case
An 80-year-old man with diabetes, peripheral vascular disease, bilateral below-the-knee … 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).