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psnet.ahrq.gov/node/60952/psn-pdf
September 30, 2020 - ketoacidosis, a condition that requires
rapidly shifting priorities and goals, should be a backbone of therapy … of
hyperglycemia, and electrolyte repletion often require close attention and rapid titration of
therapy … This will likely streamline the treatment of the medical problems. … Hypomagnesemia in type 2 diabetes: a vicious
circle? … Hypomagnesemia in patients with type 2 diabetes.
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psnet.ahrq.gov/web-mm/one-ace-too-many
June 21, 2016 - The Case A 72-year-old man with coronary artery disease, diabetes, and recently diagnosed congestive … heavily influenced by multiple factors, including the dose of the offending drug(s), use of concomitant therapies … A patient with left ventricular systolic dysfunction and diabetes who is receiving a maximal dose of … The obvious downsides of this approach are the delay to treatment and the possibility that the therapy … Diabetes may be independent risk factor for hyperkalaemia. BMJ. 2003;327:812. [go to PubMed] 4.
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psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
March 15, 2023 - Also, an individualized diabetes care plan and education on the appropriate use of insulin therapy at … In a retrospective cohort analysis of 31,689 patients with diabetes, having some or all versus no diabetes … at-risk patients and there is emerging evidence that supports multidisciplinary interventions including treatment … An on-treatment analysis of the MARQUIS study: interventions to improve inpatient medication reconciliation … Resources From the Same Author(s)
WebM&M Cases
Duplicate Therapies
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psnet.ahrq.gov/node/35620/psn-pdf
February 03, 2011 - Excess dosing of antiplatelet and antithrombin agents in
the treatment of non–ST-segment elevation acute … Excess dosing of antiplatelet and antithrombin agents in the
treatment of non-ST-segment elevation acute … https://psnet.ahrq.gov/issue/excess-dosing-antiplatelet-and-antithrombin-agents-treatment-non-st-segment … -
elevation-acute
Treatment of acute coronary syndromes (ACS) benefits from extensive research outlining … seem directed at
vulnerable populations such as elderly patients with specific comorbidities (eg, diabetes
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psnet.ahrq.gov/issue/aace-patient-safety-exchange
April 22, 2020 - Web site provides evidence-based patient safety information for clinicians who treat patients with diabetes … identified by a novel electronic medical record diabetes screening program in an urban emergency department … 2018
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment … February 12, 2014
Discontinuation of antihyperglycemic therapy after acute myocardial … September 30, 2012
Unintentional therapeutic errors involving insulin in the ambulatory
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.60_slideshow.ppt
May 01, 2004 - results of clinical trials
Case: Too Much of a Good Thing
A 28-year-old man with insulin-dependent diabetes … Infection and diabetes: the case for glucose control. … Quality Improvement Measure
Most quality improvement efforts focused on the “underuse” of effective therapies … Conventional Treatment (%) Intensive Treatment (%)
> 14 days ICU 15.7% 11.4%
> 14 days ventilator … (%)
Intensive Treatment (%)
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psnet.ahrq.gov/issue/misadministration-iv-insulin-associated-dose-measurement-and-hyperkalemia-treatment
August 24, 2016 - Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment … Citation Text:
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment … Citation Text:
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment … July 6, 2011
Medication errors common for hospital diabetes.
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psnet.ahrq.gov/web-mm/dropping-new-lows
December 18, 2024 - oral diabetes agents and other non-insulin therapies in most circumstances. … acute renal failure, and receipt of IV contrast.( 3 ) In most instances, insulin is the preferred treatment … Association inpatient glycemic control guidelines were revised to initiate insulin therapy for persistent … to keep target glucose in the controlled, rather than tight, range.( 3 ) Specifically, once insulin therapy … Intensive insulin therapy in critically ill patients. N Engl J Med. 2001;345:1359-1367.
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psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
June 28, 2023 - replacement with intravenous fluid, correction of electrolyte abnormalities, and intravenous insulin therapy … multidisciplinary, bringing together professionals from different fields to determine and deliver patients’ treatment … a BUN-to-creatinine ration of 15 Background : She is 6 weeks pregnant and in DKA Assessment : Oral therapy … Treatments for hyperemesis gravidarum and nausea and vomiting in pregnancy: a systematic review. … September 6, 2017
Teamwork is associated with reduced hospital staff burnout at military treatment
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - combination of high AG metabolic acidosis from DKA and metabolic alkalosis from vomiting, then appropriate treatment … automating the consultation process, would be expected to reduce delays in diagnosis and effective treatment … continuing medical education (CME) that coincide with CDS tools and order sets on physiologic insulin therapy … Focus on Insulin Therapy and Hypoglycemia. Published February 1, 2018. … Available at: https://glytecsystems.com/resource/u-s-survey-of-healthcare-professionals-inpatient-diabetes-care-and-glycemic-management-focus-on-insulin-therapy-and-hypoglycemia
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psnet.ahrq.gov/issue/excess-dosing-antiplatelet-and-antithrombin-agents-treatment-non-st-segment-elevation-acute
November 10, 2015 - Study
Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment … Excess dosing of antiplatelet and antithrombin agents in the treatment of non-ST-segment elevation acute … Treatment of acute coronary syndromes (ACS) benefits from extensive research outlining evidence-based … also seem directed at vulnerable populations such as elderly patients with specific comorbidities (eg, diabetes … November 17, 2011
Relationship of incorrect dosing of fibrinolytic therapy and clinical
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psnet.ahrq.gov/node/49704/psn-pdf
March 01, 2014 - These
therapies were given to prevent the need for a more risky exchange transfusion. … The patient improved and he ultimately did well with
appropriate therapies. … , blood
tests, and treatments is challenging. … Perinatal risk factors for childhood type 1 diabetes in Europe. … Diabetes Care. 2003;26:247-248. [go to PubMed]
14.
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psnet.ahrq.gov/periodic-issue/periodic-issue-379
February 01, 2023 - Although the majority of patients (>90%) felt confident in their knowledge of their diagnosis and treatment … , post-discharge treatment plan, and medication changes. … , post-discharge treatment plan, and medication changes. … record diabetes screening program in an urban emergency department in the US. … The patient returned to PICU with an open chest to optimize antibacterial and antifungal therapies for
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
February 01, 2010 - Type 2 Diabetes in Adolescents
Type 2 diabetes mellitus (T2DM) in adolescents is also increasing
T2DM … diabetes mellitus in youth. … or gestational diabetes
American Diabetes Association. … She complained that her acne had worsened and requested treatment for it. … adolescence and is associated with a two-fold increased risk of pregnancy
Adherence to Treatment
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psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit
November 18, 2016 - or gestational diabetes. … diet, exercise, and glucose monitoring should begin at diagnosis for all patients and may be the only therapy … the case presentation, is available only for subcutaneous administration; is indicated for adjunctive therapy … She also complained that her acne had worsened, and she requested treatment for it. … American Diabetes Association. Standards of medical care in diabetes—2009.
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psnet.ahrq.gov/issue/antibiotic-resistant-infection-treatment-costs-have-doubled-2002-now-exceeding-2-billion
July 02, 2019 - Study
Classic
Antibiotic-resistant infection treatment … Antibiotic-Resistant Infection Treatment Costs Have Doubled Since 2002, Now Exceeding $2 Billion Annually … increasingly common in hospitals and ambulatory care, primarily driven by overuse of antibiotics for treatment … Antibiotic-Resistant Infection Treatment Costs Have Doubled Since 2002, Now Exceeding $2 Billion Annually … Related Resources
Potentially inappropriate prescribing for adults living with diabetes
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psnet.ahrq.gov/node/73200/psn-pdf
April 28, 2021 - combination of high AG metabolic acidosis from
DKA and metabolic alkalosis from vomiting, then appropriate treatment … automating the consultation process, would be
expected to reduce delays in diagnosis and effective treatment … Focus on Insulin Therapy and Hypoglycemia. Published February 1, 2018. … -
care-and-glycemic-management-focus-on-insulin-therapy-and-hypoglycemia/. … /
https://glytecsystems.com/resource/u-s-survey-of-healthcare-professionals-inpatient-diabetes-care-and-glycemic-management-focus-on-insulin-therapy-and-hypoglycemia
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psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - oral diabetes agents and other non-insulin
therapies in most circumstances. … , acute renal failure, and receipt of IV
contrast.(3)
In most instances, insulin is the preferred treatment … Association inpatient
glycemic control guidelines were revised to initiate insulin therapy for persistent … to keep target glucose in the controlled, rather than tight, range.(3) Specifically, once insulin
therapy … Intensive insulin therapy in critically ill patients. N Engl
J Med. 2001;345:1359-1367.
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psnet.ahrq.gov/issue/patients-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
September 29, 2017 - Review
Patients' expectations of the benefits and harms of treatments, screening, … Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review … March 13, 2024
Potentially inappropriate prescribing for adults living with diabetes … September 29, 2021
To expand the evidence base about harms from tests and treatments. … September 29, 2017
Clinicians' expectations of the benefits and harms of treatments,
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psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
February 01, 2023 - Imaging identified a new MCA territory infarct, and enoxaparin treatment was initiated. … Contraindications to insulin pump therapy – including critical illness, prolonged surgical procedures … If pump therapy is continued, consultation with an endocrinologist and/or diabetes education specialist … Diabetes technology & therapeutics 2019;21:66-72.
Munt R, Hutton A. … Diabetes technology & therapeutics 2017;19:363-9.
American Diabetes A. 15.