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psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
September 01, 2016 - Telemedicine can also help in identifying and preventing treatment-related errors between clinic visits … 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 … 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
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psnet.ahrq.gov/web-mm/errors-sepsis-management
November 03, 2015 - illness progressed and in discussions with her family, the decision was made to withdraw life-sustaining therapies … The earlier a patient with severe sepsis is identified, the earlier therapy can be started. … Rivers E, Nguyen B, Havstad S, et al; Early Goal-Directed Therapy Collaborative Group. … Early goal-directed therapy in the treatment of severe sepsis and septic shock. … cell (WBC) count > 12 x 10 9 /L or 9/L Hyperglycemia (glucose > 7.78 mmol/L) in the absence of diabetes
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psnet.ahrq.gov/node/33599/psn-pdf
August 30, 2023 - linking health literacy to the quality domains of patient safety, patient-centered care, and equitable
treatment … such as being able to
understand spoken information, describe symptoms and side effects, negotiate treatment … psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
https://psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy … https://psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
https://psnet.ahrq.gov//#4
https:/ … example, ask patients how
they will take their medication tomorrow or how they will explain their treatment
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - She was referred for physical therapy and prescribed a muscle relaxant, nonsteroidal anti-inflammatory … The most common risk factors for SEA are diabetes mellitus, intravenous drug use, trauma, and alcohol … Delayed diagnosis and treatments frequently lead to permanent neurological deficits or even death. … Spinal epidural abscess: the importance of early diagnosis and treatment. … November 18, 2020
Improving administration and documentation of enteral nutrition support therapy
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psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - Case & Commentary Part 1 A 54-year-old man with hypertension, diabetes, and end-stage renal disease on … 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/node/838220/psn-pdf
September 27, 2019 - avoidable harm, such as when a
patient does not feel comfortable sharing their
disagreement with treatment … as the Heckler Report,30 data has indicated that
preventable, manageable health conditions (e.g., diabetes … TFFRS – Diabetes prevention: Interventions engaging
community health workers. … Accessed March 10, 2022. https://www.thecommunityguide.org/content/tffrs-diabetes-
prevention-interventions-engaging-community-health-workers … https://www.thecommunityguide.org/content/tffrs-diabetes-prevention-interventions-engaging-community-health-workers
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psnet.ahrq.gov/node/49479/psn-pdf
April 01, 2005 - Although she had no history of diabetes, her glucose
level on admission was nearly 300 mg/dL. … Along with initial treatment, the admitting physician prescribed
once-daily insulin (glargine) and ordered … The patient ruled out for a myocardial infarction, and her COPD exacerbation improved after initial
treatment … transferred to a skilled nursing facility (SNF) for continued observation and
intensive respiratory treatments … forgotten-med
who performed the glucose checks and would have administered the sliding-scale insulin therapy
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psnet.ahrq.gov/web-mm/perils-contrast-media
March 01, 2007 - life expectancy has resulted in a growing elderly population with comorbidities such as hypertension, diabetes … should 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 … The 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/49585/psn-pdf
May 01, 2009 - 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/triaging-interhospital-transfers
April 12, 2023 - The Case
A 63-year-old man with a history of hypertension, coronary artery disease, and diabetes was … Existing legislation, known as the Emergency Medical Treatment and Labor Act (EMTALA), dictates that … with necessary therapy for severely ill patients awaiting transfer. … , the physician requested transfer of the patient for dermatologic and critical care evaluation and treatment … Emergency Medical Treatment & Labor Act (EMTALA). Center for Medicare and Medicaid Services.
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psnet.ahrq.gov/web-mm/too-hot-comfort
May 19, 2015 - as a treatment option remains common in clinical practice. … demonstrates that this treatment does carry risks. … populations-especially children, the elderly, and those with insensate skin, chronic medical conditions (such as diabetes … In other words, thermal therapy has a relatively narrow therapeutic window-the difference between a " … It is time that the use of unregulated local heat therapy disappeared from the therapeutic armamentarium
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psnet.ahrq.gov/web-mm/nonsustained-ventricular-tachycardia-after-acute-coronary-syndromes-recognizing-high-risk
September 20, 2011 - The Case A 51-year-old woman with coronary artery disease, diabetes, and hypertension was admitted … In the absence of prior sustained ventricular arrhythmias, antiarrhythmic therapy is not indicated for … the treatment of NSVT. … In fact, prophylactic antiarrhythmic therapy following ACS has been associated with harm.( 6 ) … September 20, 2011
Excess dosing of antiplatelet and antithrombin agents in the treatment
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psnet.ahrq.gov/node/33574/psn-pdf
March 15, 2025 - importance of including the patient as a partner and ensuring that
patients understand their illnesses and treatments … For example, a patient with diabetes must measure her own blood sugars and perhaps adjust
https://psnet.ahrq.gov
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psnet.ahrq.gov/web-mm/emergent-triage-miss
March 06, 2015 - She required emergency intubation, a potentially dangerous and high-risk procedure, and aggressive treatment … employ triage : the process of categorizing patients according to severity of illness to determine treatment … infarction patients in one study were found to have delays in electrocardiogram acquisition and reperfusion therapy … For example, if treatment areas are full and patients backed up in the waiting room, triage nurses may … WebM&M Cases
Inpatient Stroke Management in an Adolescent with Type 1 Diabetes
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - The Case
A 56-year-old man with acute lymphoblastic leukemia and diabetes mellitus was admitted to the … Physician requesting admission provides clear instructions to the patient about the treatment plan
( … 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/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - medical history of morbid obesity,
hypertension, heart failure, chronic kidney disease (stage 3),
diabetes … drug class, opioids are associated with wide interindividual variability
in response and a narrow therapeutic … – Treatment modalities that incorporate non-pharmacologic therapy, ice/heat,
elevation, and physical … A comparison of long- and short-acting opioids for the treatment of chronic noncancer pain: tailoring … therapy to
meet patient needs.
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psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
June 28, 2023 - of the selected target medications used to treat four common primary care conditions: hypertension, diabetes … innovation team identified eligible patients with a newly prescribed medication to treat hypertension, diabetes … Healthcare Research and Quality (AHRQ), Health Information Technology, Center for Education and Research of Therapeutics … impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
October 01, 2011 - role in hospital and ICU
Compare the risks from immobility with the benefits gained from a program of therapeutic … patients in the ICU
*
Case: Mobility Lost in ICU
A 56-year-old man with insulin-dependent diabetes … therapy: use therapeutic exercises to facilitate improvement in function
Occupational therapy: use … Early intensive care unit mobility in the treatment of acute respiratory failure. … Breathing retraining
Therapeutic exercises
Inspiratory muscle training
Transfers
Gait re-education
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.458_slideshow.ppt
October 01, 2018 - Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant … Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis … Using procalcitonin to guide antibiotic therapy. … have an infection had higher mortality rates, which may have been related to delays in appropriate therapy … predictive value and may contribute to alert fatigue and the administration of inappropriate sepsis therapies
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psnet.ahrq.gov/node/865376/psn-pdf
March 27, 2024 - navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
The Case
A 60-year-old woman with a history of diabetes … Despite this treatment, she remained
hemodynamically unstable with declining neurological function; … , MD
The management of severely injured patients requires complex decisions to be made quickly and treatment … A pelvis x-ray can identify patterns of pelvic fractures that
may need massive transfusion and/or treatment … extravasation, interventional
radiology with angiographic intervention can be an invaluable diagnostic and therapeutic