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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/perspective/conversation-freya-spielberg-md-mph
September 28, 2022 - This helped them overcome personal health barriers, so they’d be ready to get treatment. … We screen for substance use and assess readiness for treatment as part of the mental health assessment … pain and they have a variety of interventions, mental health and acupuncture, a variety of integrative therapies … about how group visits could play an important part of chronic disease management and substance use treatment … TFFRS – Diabetes prevention: Interventions engaging community health workers.
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psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
July 02, 2019 - After three days of her first cycle of therapy, she complained of diffuse abdominal pain that lasted … This antagonism of dopaminergic function represents the mechanism by which chlorpromazine exerts its therapeutic … It also did not require the ordering provider to specify the indication for therapy. … jama.1966.03110140066019
Incidence, Diagnosis, and Management of QT Prolongation Induced by Cancer Therapies … February 1, 2023
WebM&M Cases
Challenges of Diabetes
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psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
September 28, 2022 - people’s lives, sending them out to do things they don’t need to do, and avoid unnecessary tests or treatments … For example, a great way to think about using an EHR is to create registries of patients with diabetes … to translate that complex medical jargon related to national guidelines around preventive care and treatments … A lot of quality metrics have to do with tests: checking cholesterol, checking A1Cs for diabetes, and … TFFRS – Diabetes prevention: Interventions engaging community health workers.
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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/node/838222/psn-pdf
September 28, 2022 - people’s lives, sending them out to do things they don’t need to do, and avoid unnecessary tests or
treatments … For
example, a great way to think about using an EHR is to create registries of patients with diabetes … to
translate that complex medical jargon related to national guidelines around preventive care and treatments … A lot of quality metrics have to do with tests: checking cholesterol, checking A1Cs for diabetes, and … had the patient’s name and their date of birth,
and then it was a line with a date, a diagnosis, a treatment
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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).
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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/node/849660/psn-pdf
May 31, 2023 - Errors in care
and adverse events associated with health literacy include mistakes in diabetes management … medications for children;3
incorrect use of inhalers and aerosol medications;4 falls; delays in receiving treatment … The role of health literacy in diabetes knowledge, self-care, and
glycemic control: a meta-analysis.
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psnet.ahrq.gov/node/49833/psn-pdf
June 01, 2018 - psnet.ahrq.gov/web-mm/perils-diagnosing-stroke
The Case
A 75-year-old man with a history of hypertension, diabetes … Because IV thrombolytics have a narrow therapeutic window, practitioners must provide rapid assessments … Studies have
demonstrated that earlier treatment with thrombolytics leads to better functional outcomes … One
potential way of increasing diagnostic accuracy and reducing the treatment of mimics when neurological … Association of outcome with early stroke treatment: pooled
analysis of ATLANTIS, ECASS, and NINDS rt-PA
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psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - 82-year-old man with a past medical history of dementia, coronary artery disease, hypertension, and diabetes … Treatment with anticoagulation was initiated. … radiology, cardiology, anesthesiology, nursing, case management, social work, and physical and occupational therapy … Improved treatment for patients with hip fracture often requires a major cultural change within the hospital … WebM&M Cases
Inpatient Stroke Management in an Adolescent with Type 1 Diabetes
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psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
October 02, 2019 - Are pre-treatment tests and evaluations needed to safely provide a potentially toxic therapy? … Even new treatments and technologies within a discipline will continue to press physicians to acquire … ( 3,13 )
Case & Commentary: Part 2
Prior to therapy, the physician did not refer the patient for … Treatment was continued without change. … Effect of board certification on antihypertensive treatment intensification in patients with diabetes
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psnet.ahrq.gov/node/863308/psn-pdf
February 28, 2024 - weight of 100.2 kg (body mass index of 39.1) with a history of gastroesophageal
reflux disease (GERD), diabetes … with obstructive jaundice and concern for choledocholithiasis, as it may serve both diagnostic and
therapeutic … In this scenario, the patient had obesity, GERD, and diabetes, all of
which increase the risk of aspiration … Impact of obesity treatment on gastroesophageal reflux disease. … Strategies for prophylaxis and treatment for aspiration.
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psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
August 21, 2005 - was 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 of
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psnet.ahrq.gov/issue/e-prescribing-first-step-improved-safety
February 16, 2011 - May 9, 2014
Chemotherapy medication errors in a pediatric cancer treatment center: prospective
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psnet.ahrq.gov/issue/framing-clinical-information-affects-physicians-diagnostic-accuracy
November 02, 2011 - among ICU patients
December 4, 2019
ASPEN Safe Practices for Enteral Nutrition Therapy … WebM&M Cases
Delay in Appropriate Diagnosis and Treatment
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psnet.ahrq.gov/web-mm/dependence-vs-pain
October 30, 2019 - Scale (COWS) and pharmacologic treatments. … facilities (or in licensed opioid agonist therapy [OAT] programs). … to longer term maintenance therapy using buprenorphine or methadone. … unhealthy behavior (e.g., alcohol use in an alcohol-dependent patient; poor diet control in a patient with diabetes … Counseling plus buprenorphine-naloxone maintenance therapy for opioid dependence.
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psnet.ahrq.gov/node/50701/psn-pdf
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 … young people and instead really pay attention to the potential short-term consequences of misjudging
treatment … Medication is such a key part of our
therapeutic efforts. … However, there is a narrower therapeutic window in our frail older patients.
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psnet.ahrq.gov/node/865374/psn-pdf
March 27, 2024 - patient examinations and EHR documentation, the AI system can
suggest diagnoses or evidence-based treatment … options or caution against potential treatment-related
complications, thus reducing diagnostic errors
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psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - psnet.ahrq.gov/web-mm/duplicate-insulin-order
The Case
A 45-year-old man with a history of insulin-dependent diabetes … 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