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psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - Amazingly, less than a year later, she returned to her hospital for emergency treatment. … physicians and nurses to many potential sentinel events.( 1 ) A 5-year-old girl hospitalized for cancer treatment … Their medical condition and treatment, knowledge, and language barriers may prevent them from being an … Many other performance measures (such as hemoglobin A1c in the treatment of people with diabetes or whether … A mixed-methods analysis of patient safety incidents involving opioid substitution treatment
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psnet.ahrq.gov/node/845472/psn-pdf
March 15, 2023 - Telemedicine is remote diagnosis and treatment using some kind of information
https://psnet.ahrq.gov … For example, with hypertension you
need blood pressure monitoring, and with diabetes you need glucose … They would send the data to the physician to make treatment
management decisions. … As a result, we are being asked to treat more
patients with chronic diseases like hypertension or diabetes … You can change treatment plans based remote monitoring data.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
November 01, 2006 - warfarin was subtherapeutic, and a heparin drip was initiated to bridge her until the INR was in the therapeutic … Improves transparency in health care and can empower patients to make better choices about where to seek treatment … Monitoring
Automated detection can be used to measure how often patients with heart failure receive treatment … with antibiotics intended for treatment of pneumonia
Reducing the Burden of Unintended Consequences
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psnet.ahrq.gov/web-mm/coming-short
May 20, 2020 - The patient has since begun thyroid replacement therapy and is likely to grow and develop with thyroid … endocrinologists know never to measure GH before they verify that the child is euthyroid, or to begin treatment … However, I fear that the onset was much earlier, in which case mental retardation may not respond to therapy … Diagnosis
June 24, 2020
WebM&M Cases
Adolescent Diabetes
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psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
November 25, 2020 - easily deteriorate or who presents with symptoms suggestive of a condition requiring time-sensitive treatment … ESI-2 patients are high priority and should be placed into a treatment bed as soon as possible. … Had the necessary resources been available when she first presented, diagnosis and treatment would have … Nursing protocols – Reduce wait times by initiating diagnostic testing and treatment prior to examination … WebM&M Cases
Inpatient Stroke Management in an Adolescent with Type 1 Diabetes
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psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
March 01, 2009 - San Francisco, Director of the UCSF Center for Vulnerable Populations, and Chief of the California Diabetes … method is simply asking patients to report, in their own words, what they're going to do with their diabetes … the procedure they just agreed to involved; or what the risks, benefits, tradeoffs, and alternative treatments … associated with a poorer understanding of medication names, indications, and instructions and adherence to treatment … Improving Patient–Provider Communication
To confirm patient understanding of medical conditions, treatments
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - His past medical history was significant for type 2 diabetes mellitus, hypertension, and coronary artery … perfusion, with a target mean arterial pressure (MAP) goal of greater than 85 mmHg (also known as “MAP therapy … PharmD, Delia Christian, RN, BSN, CNRN, and Sierra Young, PharmD
Vasopressors are commonly used in the treatment … non-weight-based dosing (mcg/min) offers the operational advantage of not requiring a weight for initiation of treatment
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psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
November 27, 2019 - The Case A 60-year-old woman with a history of diabetes, hypertension, alcohol use disorder, and cirrhosis … Despite this treatment, she remained hemodynamically unstable with declining neurological function; her … A pelvis x-ray can identify patterns of pelvic fractures that may need massive transfusion and/or treatment … Empiric treatment of presumptive coagulopathy with fresh frozen plasma, platelets, and possibly tranexamic … extravasation, interventional radiology with angiographic intervention can be an invaluable diagnostic and therapeutic
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psnet.ahrq.gov/web-mm/too-much-too-fast
June 14, 2019 - with comorbidities that included coronary artery disease and a prior bypass graft, insulin-dependent diabetes … Hyperkalemia in hospitalized patients: causes, adequacy of treatment, and results of an attempt to improve … physician compliance with published therapy guidelines. … Therapeutic approach to hypokalemia. Nephron. 2002;92(suppl 1):28-32. [go to PubMed] 10. … concentration Preparation of potassium salts Potassium chloride: most effective and first line treatment
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psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
August 04, 2021 - under-treated, and under-studied, all of which contribute to gaps in knowledge, underuse of proven therapies … Under-treatment:
Women are less likely to be treated by a cardiologist during hospital admission … Association of History of Gestational Diabetes With Long-term Cardiovascular Disease Risk in a Large … Assessment and Treatment of Patients With Type 2 Myocardial Infarction and Acute Nonischemic Myocardial … Gender disparities in the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes
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psnet.ahrq.gov/web-mm/hidden-mystery
December 01, 2011 - Case & Commentary: Part 1 A 45-year-old woman with a history of morbid obesity and diabetes mellitus … This case demonstrates that obesity poses challenges for both diagnosis and treatment. … In summary, obesity presents significant challenges to virtually every step of the diagnostic and therapeutic … Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults … Primary care physicians' attitudes about obesity and its treatment.
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psnet.ahrq.gov/node/49474/psn-pdf
March 01, 2005 - Case & Commentary: Part 1
A 45-year-old woman with a history of morbid obesity and diabetes mellitus … This case demonstrates that obesity poses challenges for both diagnosis and treatment. … In summary, obesity presents significant challenges to virtually every step of the diagnostic and therapeutic … Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults … Primary care physicians' attitudes about obesity and its
treatment.
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - past medical history of morbid obesity, hypertension, heart failure, chronic kidney disease (stage 3), diabetes … a drug class, opioids are associated with wide interindividual variability in response and a narrow therapeutic … of scheduled non-opioid adjunctive therapy. … Treatment modalities that incorporate non-pharmacologic therapy, ice/heat, elevation, and physical therapy … therapy to meet patient needs.
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psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
July 19, 2023 - antagonism (e.g., Parkinsonism and dystonia) were described and were considered to be essential for treatment … associated with impairments in the metabolism of both lipids and sugars, leading to hypertriglyceridemia, diabetes … population reduction in New York State mental hospitals during the first four years of large-scale therapy … Which comes first: atypical antipsychotic treatment or cardiometabolic risk? … Pancreatitis following olanzapine therapy: a report of three cases.
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psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - His past medical history was significant for type 2 diabetes mellitus, hypertension, and
coronary artery … perfusion, with a target mean
arterial pressure (MAP) goal of greater than 85 mmHg (also known as “MAP therapy … PharmD, Delia Christian, RN,
BSN, CNRN, and Sierra Young, PharmD
Vasopressors are commonly used in the treatment … non-weight-based dosing (mcg/min) offers the
operational advantage of not requiring a weight for initiation of treatment
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psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
January 29, 2021 - countries around the world, which has led to an increase in sleep apnea, metabolic syndrome, type 2 diabetes … nasal oxygen also known as trans-nasal humidified rapid-insufflation ventilatory exchange (THRIVE) is a therapeutic … Obesity phenotypes, diabetes, and cardiovascular diseases. … Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment
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psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - delayed-clozapine-prescription-elderly-man-dementia
The Case
An 86-year-old man with neurodegenerative dementia, epilepsy, type 2 diabetes … During
this gap in therapy, the patient experienced recurrence of paranoia and required readmission … FDA) has identified certain medications that need special attention to
ensure that the benefits of therapy … care team, including the patient, about particular strategies that can reduce the likelihood of the
therapy … an adverse drug event, not from the risks that were managed through
the REMS, but from missing his treatment
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psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
April 01, 2006 - introduction of percutaneous coronary intervention (PCI), including balloon angioplasty and stenting, as a therapeutic … adjunct to catheterization has revolutionized the contemporary treatment of cardiovascular disease. … 1,471,000, and the number of inpatient PCI procedures was 1,285,000.( 1 ) Adding outpatient diagnostic and therapeutic … concentration of more than 1.0 mg/dL in at least 5% of patients undergoing catheterization.( 9 ) Patients with diabetes … Anticoagulant therapy used during PCI varies depending on the operator and the clinical situation but
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psnet.ahrq.gov/node/49754/psn-pdf
February 01, 2016 - https://psnet.ahrq.gov/web-mm/picking-cause-stroke
The Case
A 62-year-old man with poorly controlled diabetes … relative risks and benefits associated with each device against factors such as
proposed duration of therapy … Comparative effectiveness of intravenous vs oral antibiotics for
postdischarge treatment of acute osteomyelitis
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psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
September 01, 2017 - for whom she had a report at the beginning of the shift, completing the assessments, medications, and treatments … the giver and receiver of patient information; up-to-date information regarding the patient's care, treatment … the hand off information to review relevant patient historical data, which may include previous care, treatment … WebM&M Cases
Inpatient Stroke Management in an Adolescent with Type 1 Diabetes