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psnet.ahrq.gov/node/862983/psn-pdf
February 28, 2024 - Inhaled therapy with albuterol and sevoflurane is not effective when bronchospasm is severe
because … gas exchange is insufficient to deliver inhaled therapy to the smooth muscle in the bronchial tree. … Therapeutic intervention often must be initiated based on clinical probabilities, before a definitive … identified and treated
Obese patients like the patient in this Commentary may have undiagnosed type 2 diabetes … A contemporary approach to the treatment of perioperative
bronchospasm.
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psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
April 27, 2022 - differentials and avoidance of premature closure The Case A 44-year-old man with a recent history of interferon treatment … diagnosed with SEA have at least one risk factor predisposing them to the disease. 12 These include diabetes … considered in patients with risk factors and historical features, and in those who fail to respond to treatment … Once SEA is diagnosed by imaging, emergent spine surgery consultation is required because the primary treatment … WebM&M Cases
Delay in Appropriate Diagnosis and Treatment
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psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - Compare the risks from immobility with the benefits gained from a program of therapeutic exercise. … The Case A 56-year-old man with insulin-dependent diabetes, hypertension, and chronic kidney disease … require close monitoring of patient responses, and adjustment of the intensity if necessary, so that treatment … many departments will result in tension between participation in rounds and the capacity to provide treatment … Early intensive care unit mobility in the treatment of acute respiratory failure.
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psnet.ahrq.gov/node/33666/psn-pdf
October 01, 2008 - These include
health care workers, dialysis patients, patients with diabetes, injection drug users, … This may
be due to initial antibiotic therapy that is not active against the infecting organism, resulting … in inappropriate
treatment, serious underlying illness in the patient, or a combination of both.
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psnet.ahrq.gov/node/49722/psn-pdf
December 01, 2014 - Case
A 75-year-old man with a history of congestive heart failure (CHF), coronary artery disease, diabetes … After a short period of treatment, his swelling improved and he was able to ambulate
on the hospital
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
March 01, 2014 - in a measured and fair way
3
3
Case: Tough Call
A 55-year-old woman with a history of type 2 diabetes … Metformin and antibiotics were stopped, and the patient did well with conservative treatment.
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psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
April 24, 2024 - the patient needs intermittent complex care that can only be provided by qualified licensed nurse or therapy … A study targeted at patient safety and adverse events in home care of older persons with diabetes reported … Integrative review: patient safety among older people with diabetes in home care services. … Patient Safety Innovations
Project BOOST Increases Patient Understanding of Treatment … Safety risks associated with physical interactions between patients and caregivers during treatment
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psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
August 06, 2014 - The Case
An 86-year-old man with neurodegenerative dementia, epilepsy, type 2 diabetes, and hypertension … During this gap in therapy, the patient experienced recurrence of paranoia and required readmission to … (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/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment … to be beneficial to patients, allowing further workup and monitoring (e.g., serial exams and labs, treatment … and unresolved pain, the clinician could have placed the patient in an observation unit for further treatment … Adhesive postoperative small bowel obstruction: incidence and risk factors of recurrence after surgical treatment
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psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - guidelines to assist referring physicians and other providers in making the most appropriate imaging or treatment … to be beneficial to patients, allowing further workup and monitoring (e.g., serial exams and labs, treatment … and unresolved pain, the clinician could have placed the patient in an observation unit for further treatment … Normal CT Head
October 30, 2024
Diagnostic discordance, uncertainty, and treatment … 2024
Reducing diagnostic errors in the emergency department at the time of patient treatment
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psnet.ahrq.gov/node/49548/psn-pdf
October 01, 2007 - Therapy for her hyperthyroidism was initiated, and
she was discharged without complications. … ://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
high mortality rates even with therapy … and thyrotoxicosis are
present, routine cultures and early initiation of broad-spectrum antibiotic therapy … in addition to treatment of
thyrotoxic storm are essential. … Amiodarone-induced thyrotoxicosis typically presents months after starting therapy.
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psnet.ahrq.gov/node/50756/psn-pdf
December 18, 2019 - after chemotherapy, but his abdominal and bony pain due
to metastases was well controlled with opioid therapy … opioid-related harm, the 2016 CDC guidelines provided
recommendations on the use of opioids for the treatment … Erika Cutler, PharmD
Pharmacy and Therapeutics Coordinator
University of California, Davis
Assistant … counseling and health education: a survey of their knowledge
and level of involvement in relation to type 2 diabetes
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psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
September 01, 2015 - past medical history of end-stage renal disease (on hemodialysis 3 times/week), hypertension, type 2 diabetes … Although duplicate therapy alerts for zolpidem and hydroxyzine appeared on the order entry screen, it … Diagnostic and therapeutic procedures as well as routine lab draws should be avoided during nighttime … Alerting physicians to duplicate sleep aid therapies and implementing hard stops in provider order entry … Treatment of insomnia in hospitalized patients. US Pharm. 2011;36:12-18. [Available at]
6.
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psnet.ahrq.gov/node/49522/psn-pdf
November 01, 2006 - with warfarin, and a heparin drip was
initiated with the plan to bridge her until her INR was in the therapeutic … reporting improves transparency and can empower patients to make better
choices about where to seek treatment … Finally, direct harm can occur
when caregivers are faced with diagnostic or therapeutic uncertainty, … example, automated detection can be used to measure how
often patients with heart failure receive treatment … of intramuscular influenza immunization among patients
receiving long-term warfarin anticoagulation therapy
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psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - The
team was concerned that her pneumonia was returning and she was failing the doxycycline treatment … these readmissions may be planned, whereas others may be part of
the natural evolution of disease and treatment … But, many hospitalizations owe to errors in diagnosis,
consequences of treatment (most commonly adverse
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psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
January 29, 2021 - gynecologist made a presumptive diagnosis of deep vein thrombosis and put her on subcutaneous dalteparin at therapeutic … Patients with a body mass index (BMI) of less than 20 or greater than 30, patients with diabetes, and … Full therapeutic anticoagulation so soon after a hysterectomy presented a significant risk of postoperative … Well leg compartment syndrome: pathophysiology, prevention, and treatment. … Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment
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psnet.ahrq.gov/web-mm/discharged-blindly
October 26, 2022 - The patient was subsequently readmitted to the hospital for continuation of anticoagulation therapy. … March 16, 2022
WebM&M Cases
Treatment Challenges After
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - radiology tests, and laboratory tests ordered for the wrong patient, as well as operations, radiation treatments … Self-Administered Medications
July 1, 2011
WebM&M Cases
Treatment
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psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
August 05, 2009 - Moreover, patients' physical and emotional symptoms, the direct effects of medication and treatment, … June 1, 2012
WebM&M Cases
Treatment Challenges
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psnet.ahrq.gov/node/49784/psn-pdf
February 01, 2017 - point-of-care testing at home, such as international normalized ratio for monitoring
warfarin anticoagulation therapy … or self-testing of blood glucose for diabetes, education and guidance
should be provided to the patient … Persistent human chorionic gonadotropin after
methotrexate treatment and an emergency surgical procedure