-
psnet.ahrq.gov/node/60328/psn-pdf
May 27, 2020 - disease
Pulmonary disease
(including COPD)
Cardiac disease
(including CAD, CHF,
arrhythmias)
Diabetes … reflect the type and route of opioid administration, post-procedural
level of care, patient response to treatment … respiratory events: a
retrospective study of postoperative patients found unresponsive during analgesic therapy … Patient-controlled analgesia – an update on its use in the treatment of postoperative pain.
-
psnet.ahrq.gov/node/848110/psn-pdf
April 26, 2023 - Case 2: A 78-year-old woman with a history of obesity, diabetes mellitus, anemia, anxiety, end-stage … provider was aware of the falls, came to examine the patient multiple times, and ordered
physical therapy … evaluation and treatment. … Clinical Practice Guideline included a weak recommendation only
because an alarm might cause more rapid treatment … Her PCP ordered physical therapy and a psychiatric evaluation for her
dementia-associated agitation.
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psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
May 26, 2021 - disease
Pulmonary disease (including COPD)
Cardiac disease (including CAD, CHF, arrhythmias)
Diabetes … reflect the type and route of opioid administration, post-procedural level of care, patient response to treatment … respiratory events: a retrospective study of postoperative patients found unresponsive during analgesic therapy … Patient-controlled analgesia – an update on its use in the treatment of postoperative pain.
-
psnet.ahrq.gov/node/49702/psn-pdf
March 01, 2014 - The Case
A 55-year-old woman with a history of type 2 diabetes on metformin presented to the emergency … consistent with acute lactic acidosis secondary to metformin
(a well-recognized complication of metformin treatment
-
psnet.ahrq.gov/web-mm/failure-latch
November 27, 2012 - The treatment—frenotomy—is a simple, safe, and effective surgical procedure. … Infants who are not breastfed also have a higher risk of developing obesity and diabetes.
-
psnet.ahrq.gov/perspective/conversation-beverley-h-johnson
February 01, 2013 - want to learn from patients' observations about how their body is responding to a new medication or therapy … members can read about it on a smart phone, links to key Web sites for a patient with a new diagnosis of diabetes … This is particularly important when decisions, such as treatment for prostate cancer, conflict with the … Patients and families are essential partners in managing chronic illnesses and adhering to recommended therapies … the value these groups may bring in representing the unrecognized needs of children completing cancer treatment
-
psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
October 31, 2023 - interactions The Case A 38-year-old man with end-stage renal disease (ESRD) on chronic hemodialysis, type 2 diabetes … Oxycodone is considered a second-line therapy compared with other opioids and may be used with caution … including baclofen, tizanidine, cyclobenzaprine, and methocarbamol, are commonly used as adjunctive treatments … patient-specificinformation, usually at the point of care, to help inform decisions about a patient's treatment … Gabapentin: A promising therapy for uremic pruritus in hemodialysis patients: A randomized-controlled
-
psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
September 01, 2006 - Diabetes care quality in the Veterans Affairs Health Care System and commercial managed care: the TRIAD … emphasize, we do root cause analysis on both close calls as well as actual events—they get the same treatment
-
psnet.ahrq.gov/node/854849/psn-pdf
October 31, 2023 - copy-and-paste-notes-and-autopopulated-text-electronic-health-record
The Cases
Case #1: A 56-year-old man being treated for hypertension and diabetes … from another
patient’s record could lead to significant medical consequences, such as unnecessary treatment … for evaluation and management codes emphasize documenting the assessment
or response of symptoms to therapy … contribute to
complexity, reviewing
data, collaborating with
professionals and care
partners
Risk of therapies … Any diagnostic or therapeutic interventions mentioned
can be presented as orders for the provider to
-
psnet.ahrq.gov/node/73103/psn-pdf
March 31, 2021 - difficult due to the lack of superficial evidence on the skin until late stages.2 Risk factors include
diabetes … sclerosis, while the risk of
infection was increased by her neurogenic bladder and immunomodulator therapy … Abscesses are the most common cause of such symptoms, but other causes may also be amenable to
operative treatment
-
psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - disease
• Pulmonary disease (including
COPD)
• Cardiac disease (including CAD,
CHF, arrhythmias)
• Diabetes … respiratory events: a retrospective study of postoperative patients found
unresponsive during analgesic therapy … Patient-controlled analgesia – an update on its use in the treatment of postoperative pain.
-
psnet.ahrq.gov/node/33883/psn-pdf
July 01, 2019 - Her research focuses on developing next generation diagnostic,
surveillance, and treatment planning
-
psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
January 01, 2021 - Staphylococcal
meningitis.
7
Case Details (4)
• Despite initiation of intravenous antibiotic therapy … – These include diabetes mellitus, distal site of infection, a history
of undergoing a procedure … considered in patients with
risk factors and historical features, and in those who fail to respond to
treatment … • Once diagnosed by imaging, emergent spine surgery
consultation is required because the primary treatment … Empiric intravenous antibiotic therapy should be
broad-spectrum and should cover Staphylococci species
-
psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - This is particularly important when decisions, such as treatment for prostate cancer, conflict with the … Patients and families are essential partners in managing chronic illnesses and adhering to recommended therapies … the value these groups may bring in representing the unrecognized needs of children completing cancer treatment … want to learn from patients' observations about how their body is responding to a new medication or therapy … members can read about it on a smart phone, links to key Web sites for a patient with a new diagnosis of diabetes
-
psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
May 16, 2022 - team planned to discharge the patient to his residential care home on a weekend day with conventional treatments … It is possible that if he had the COPD medications, especially the rescue therapy along with the aforementioned … May 16, 2022
WebM&M Cases
Challenges of Diabetes … Follow-up
June 14, 2023
WebM&M Cases
Duplicate Therapies … Patient Safety Innovations
Project BOOST Increases Patient Understanding of Treatment
-
psnet.ahrq.gov/node/843234/psn-pdf
January 01, 2013 - interactions
The Case
A 38-year-old man with end-stage renal disease (ESRD) on chronic hemodialysis, type 2 diabetes … Oxycodone
is considered a second-line therapy compared with other opioids and may be used with caution … including baclofen, tizanidine, cyclobenzaprine, and methocarbamol, are commonly used
as adjunctive treatments … patient-specificinformation, usually at the
point of care, to help inform decisions about a patient's treatment … Gabapentin: A promising therapy for uremic pruritus in hemodialysis
patients: A randomized-controlled
-
psnet.ahrq.gov/node/60722/psn-pdf
February 06, 2023 - virus that causes COVID-19, may
lead to preventable transmission1 and delayed initiation of effective treatment … often relies on cognitive thought processes—called heuristics—that facilitate
rapid diagnosis and treatment … commentator recently described this
phenomenon as “COVID blindness.”9 Given the availability of effective therapies … Carefully assess the response to initial treatment, such as antibiotic therapy for presumed bacterial … Empiric antibacterial therapy and community-onset bacterial
coinfection in patients hospitalized with
-
psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
July 30, 2020 - virus that causes COVID-19, may lead to preventable transmission 1 and delayed initiation of effective treatment … commentator recently described this phenomenon as “ COVID blindness .” 9 Given the availability of effective therapies … Carefully assess the response to initial treatment, such as antibiotic therapy for presumed bacterial … Pathophysiology, transmission, diagnosis, and treatment of Coronavirus Disease 2019 (COVID-19): a review … Empiric antibacterial therapy and community-onset bacterial coinfection in patients hospitalized with
-
psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - An EMR-based tool to support collaborative planning for medication use among adults with diabetes: design … February 18, 2011
WebM&M Cases
Treatment Challenges After
-
psnet.ahrq.gov/node/837959/psn-pdf
August 31, 2022 - Reinforce the principles of identification and treatment of anaphylaxis in the hospital and
perioperative … anomalies
Tracheoesophageal fistula
Patients with multiple surgeries
Ventriculoperitoneal shunt
Type 1 diabetes … ventilation (due to bronchospasm) are key findings that anesthesiologists must
recognize for prompt treatment