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psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
January 01, 2024 - to remove foreign matter from a wound, but in fact, removal of foreign material is the mainstay of treatment … Extremes of age, diabetes mellitus, history of smoking, peripheral arterial disease, chronic renal failure … We might more accurately describe such antibiotic use as “early empiric treatment,” which is not strongly … : 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. Am J Surg. 1982;144(1):63–7.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
November 01, 2005 - for medication errors and harm
Case: Reconciling Doses
A 68-year-old man with a history of diabetes … Lumbar puncture was attempted three times without success; empiric treatment for meningitis was started … Further examination revealed an area of cellulitis, and intravenous antibiotic therapy was changed accordingly … medication history
Pharmacist verifies information
Physicians use the list to aid in decisions about drug therapy … reconciliation should be applied whenever medication orders are rewritten or whenever there is a change in treatment
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psnet.ahrq.gov/node/49747/psn-pdf
December 01, 2015 - Case & Commentary Part 1
A 54-year-old man with hypertension, diabetes, and end-stage renal disease … for developing a fatal arrhythmia due to his acute myocardial infarction and co-morbid
conditions (diabetes … their hospital alarm default settings to determine whether
some audible alarms that do not warrant treatment … rate averaging 135, then to avoid incessant
alarms the alarm threshold needs to be increased while treatment
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psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
May 26, 2021 - due to medical insurance coverage issues and often intolerable medication side effects from hormonal treatments … When the patient did not improve despite adequate first-line therapy for dysmenorrhea, an opportunity … intervention. 22 For this patient, it seems clear that, given the failure of multiple trials of medical therapy … systemic under-investment in women’s health 26 - from education of trainees to research in effective treatments … December 23, 2020
WebM&M Cases
Adolescent Diabetes
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psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
August 30, 2023 - Errors in care and adverse events associated with health literacy include mistakes in diabetes management … 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/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - Describe evidence-based first line treatments for low back pain and assess the appropriate role of opioid … chronic, slowly progressive condition for which the risk of opioid therapy may exceed the modest therapeutic … The labeling of a patient as ‘drug-seeking’ can shatter trust and rupture therapeutic relationships. … Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline … March 3, 2011
WebM&M Cases
Adolescent Diabetes: A Routine
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psnet.ahrq.gov/node/49795/psn-pdf
June 01, 2017 - life expectancy has resulted in a growing
elderly population with comorbidities such as hypertension, diabetes … understand the
etiology of and risk factors for CIAKI and harness evidence-based prophylactic and therapeutic … In emergency situations, prolonged debates are
inappropriate; prompt action and definitive treatment … recognized nephroprotective
measures can all be administered after the appropriate diagnostic and therapeutic … key risk factors for CIAKI including hypotension, congestive
heart failure, chronic kidney disease, diabetes
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psnet.ahrq.gov/node/866839/psn-pdf
September 25, 2024 - to remove foreign matter from a wound, but in fact, removal of foreign material is the mainstay of
treatment … Extremes of age, diabetes mellitus,
https://psnet.ahrq.gov//#1
https://psnet.ahrq.gov//#3
history … We might more accurately describe such antibiotic use as “early empiric treatment,” which is not
strongly … 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. Am J Surg. 1982;144(1):63–7.
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - The Case A 56-year-old man with acute lymphoblastic leukemia and diabetes mellitus was admitted to … Physician requesting admission provides clear instructions to the patient about the treatment plan (e.g … Oncoming nurse rounds on new patients and reviews treatment plan. … Direct communication with the outpatient provider helps the admitting physician clarify the treatment … Pre-completed admission order sets for planned admissions for procedures and scheduled treatments such
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psnet.ahrq.gov/node/50927/psn-pdf
February 21, 2020 - detecting potential adverse events in
primary care patients prescribed medications for hypertension, diabetes … Increased shared decision-making can ensure that treatment
options align with patient preferences and … Additionally, implementation of interventions like shared decision-making tools help to
standardize treatment … This can jeopardize or delay the development of an
accurate diagnosis and treatment plan.
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psnet.ahrq.gov/perspective/patient-safety-primary-care
January 31, 2020 - detecting potential adverse events in primary care patients prescribed medications for hypertension, diabetes … Increased shared decision-making can ensure that treatment options align with patient preferences and … Additionally, implementation of interventions like shared decision-making tools help to standardize treatment … This can jeopardize or delay the development of an accurate diagnosis and treatment plan.
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psnet.ahrq.gov/node/50929/psn-pdf
February 26, 2020 - 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 specifically addressed in the IDSA OPAT Guidelines and requires at
least once weekly therapeutic … 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.
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psnet.ahrq.gov/node/33792/psn-pdf
September 01, 2015 - But they are not treatment stories. That
is where doctors come into play. … But still I do believe it is the doctor's domain to render
what is the right treatment if any treatment … I don't see do it yourself getting into
treatment anywhere in the decades ahead. … same diagnosis to match up with others with similar demographics and like conditions to see the best
treatments … smartphone and almost all have hypertension along with other chronic conditions that they can track like
diabetes
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psnet.ahrq.gov/perspective/conversation-eric-j-topol-md
February 26, 2025 - But they are not treatment stories. That is where doctors come into play. … But still I do believe it is the doctor's domain to render what is the right treatment if any treatment … I don't see do it yourself getting into treatment anywhere in the decades ahead. … same diagnosis to match up with others with similar demographics and like conditions to see the best treatments … smartphone and almost all have hypertension along with other chronic conditions that they can track like diabetes
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psnet.ahrq.gov/web-mm/abdominal-aortic-aneurysm-screening
October 01, 2011 - coronary artery disease (status post prior coronary artery bypass grafting), severe heart failure, diabetes … the potential benefit of identifying large aneurysms that are at risk for rupture, and facilitating treatment … The goal of treatment of asymptomatic AAA is to prevent future rupture and its associated risk of death … Elective surgical treatment of abdominal aortic aneurysms should be offered to patients with acceptable … Sight
August 1, 2009
WebM&M Cases
Not-So-Therapeutic
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psnet.ahrq.gov/node/49492/psn-pdf
November 01, 2005 - 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
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psnet.ahrq.gov/node/49732/psn-pdf
May 01, 2015 - illness progressed and in discussions with her family, the decision was
made to withdraw life-sustaining therapies … The initial management of severe sepsis and septic shock involves treatment with the resuscitation bundle … The hope is that
early recognition and treatment then lead to a decrease in sepsis-related morbidity … Early goal-
directed therapy in the treatment of severe sepsis and septic shock. … blood cell (WBC) count > 12 x 109/L or 9/L
Hyperglycemia (glucose > 7.78 mmol/L) in the absence of diabetes
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psnet.ahrq.gov/web-mm/delirium-or-dementia
September 27, 2023 - past medical history included cataract surgery, hypertension controlled with medications, and type 2 diabetes … Because of the associated morbidity and mortality, multiple causative pathways and treatments may need … It is unclear why further workup or treatment was not pursued in this case. … The treatment of delirium is to identify and remedy the underlying causes. … Provision of care, treatment, and services. Standards 11.10-100.
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psnet.ahrq.gov/web-mm/its-sarah-not-stephen
January 01, 2015 - In addition, the majority of US health insurers do not cover hormone replacement therapy or sexual reassignment … In general, transgender persons who have not undergone gender-affirmative surgeries or used hormonal therapy … However, for those patients who have undergone surgery or hormonal treatments, screening recommendations … Endocrine treatment of transsexual people: a review of treatment regimens, outcomes, and adverse effects … WebM&M Cases
Inpatient Stroke Management in an Adolescent with Type 1 Diabetes
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psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
September 01, 2016 - There's a robust debate about whether a first-time visit by a patient that will have a diagnostic and therapeutic … continuum of care that includes protecting and promoting their health, complying with often complex therapeutic … For instance, a study of ambulatory patients with diabetes found that a weekly interactive, automated … Other examples include applications that, based on inputting the diet of patient with diabetes, calculate … interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes