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psnet.ahrq.gov/issue/improving-patient-safety
January 18, 2011 - Safety risks associated with physical interactions between patients and caregivers during treatment … February 3, 2010
Insulin treatment as a tracer for identifying latent patient safety … risks in home-based diabetes care.
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psnet.ahrq.gov/node/33815/psn-pdf
September 01, 2016 - Telemedicine can also help in identifying and preventing treatment-related errors between clinic visits … departments (EDs) and pediatric critical care physicians in a large academic medical center to
manage treatment … 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
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psnet.ahrq.gov/node/853772/psn-pdf
September 27, 2023 - these shortages were categorized
as critically impactful, defined as rationing, delaying, or canceling treatments … or procedures.8 Pharmacy
respondents reported managing drug shortages by changing to therapeutic alternatives … implementing rationing criteria (85%), changing order sets or protocols (75%), delaying or canceling
treatments … An expedited approval
process for therapeutic alternatives (intended for use when the standard process … Any decisions about alternative therapies should
involve stakeholders from medicine, nursing, pharmacy
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psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
May 28, 2014 - The Case A woman presented for surgery on her right wrist as a treatment for carpal tunnel syndrome. … Two weeks after surgery, the patient went to an emergency department (ED) seeking treatment for worsening … cases per 1,000 persons per year in the United States and a prevalence of 50 per 1000 persons. 2 Treatment … While the legal scope of an MA’s practice varies by state, they are generally not allowed to provide treatment … Glycemic targets: standards of medical care in diabetes—2021.
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psnet.ahrq.gov/node/61038/psn-pdf
October 21, 2020 - led to patients delaying or forgoing necessary health care, which can
contribute to diagnostic and treatment … decreases in diagnoses and associated medication prescriptions for circulatory system diseases and type 2
diabetes
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psnet.ahrq.gov/web-mm/back-basics
July 13, 2010 - Comments also have been published regarding catastrophic insulin errors stemming from inappropriate treatment … A systems approach to reducing errors in insulin therapy in the inpatient setting. … Intensive insulin therapy in the critically ill patients. N Engl J Med. 2001;345:1359-1367. … Outcome benefit of intensive insulin therapy in the critically ill: insulin dose versus glycemic control … Management of diabetes and hyperglycemia in hospitals. Diabetes Care. 2004;27:553-591.
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psnet.ahrq.gov/issue/avoiding-errors-associated-insulin-therapy
April 06, 2022 - Commentary
Avoiding errors associated with insulin therapy. … Citation Text:
Avoiding errors associated with insulin therapy. Cohen H. Medscape CME/CE. … This CME-accredited educational activity discusses safety concerns surrounding insulin therapy and … June 16, 2019
Making surgical wards safer for patients with diabetes: reducing hypoglycaemia … 2018
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment
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psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
February 15, 2017 - chronic obstructive pulmonary disease, hypertension, heart failure with preserved ejection fraction, diabetes … Nevertheless, thiazide diuretics remain a valuable therapeutic option in treating hypertension, and most … conditions (heart failure, liver disease, and malignancy, which themselves may cause hyponatremia), diabetes … 5,8 )
Given that this patient had several nonmodifiable risk factors (female gender, heart failure, diabetes … For the treatment of hypertension, 12.5 mg to 25 mg doses are recommended.
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psnet.ahrq.gov/issue/reducing-potentially-fatal-errors-associated-high-doses-insulin-successful-multifaceted
August 17, 2016 - Related Resources
Potentially inappropriate prescribing for adults living with diabetes … 2022
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment … April 23, 2014
Medication errors common for hospital diabetes. … April 13, 2011
Unintentional therapeutic errors involving insulin in the ambulatory setting
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psnet.ahrq.gov/issue/addressing-safety-concerns-about-u-500-insulin-hospital-setting
March 15, 2017 - December 30, 2014
Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired … August 24, 2022
WebM&M Cases
Challenges of Diabetes Management … August 5, 2022
Improving the quality of insulin prescribing for people with diabetes … December 30, 2014
Avoiding errors associated with insulin therapy.
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psnet.ahrq.gov/issue/exploring-system-features-primary-care-practices-promote-better-providers-clinical-work
May 25, 2022 - July 13, 2022
Delays in diagnosis, treatment, and surgery: root causes, actions taken … May 12, 2015
Organizational culture, team climate and diabetes care in small office-based … June 16, 2011
Effect of crew resource management on diabetes care and patient outcomes
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psnet.ahrq.gov/issue/efficacy-educational-video-game-versus-traditional-educational-apps-improving-physician
August 04, 2021 - September 23, 2020
Treatment patterns and clinical outcomes after the introduction of … Overrides: A Dangerous Combination
April 24, 2024
Prevalence of undiagnosed diabetes … identified by a novel electronic medical record diabetes screening program in an urban emergency department
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psnet.ahrq.gov/issue/hospital-autopsy-endangered-or-extinct
November 21, 2021 - November 21, 2021
Type 1 diabetes defined by severe insulin deficiency occurs after 30 … years of age and is commonly treated as type 2 diabetes. … November 16, 2022
Association of adverse effects of medical treatment with mortality
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psnet.ahrq.gov/issue/content-analysis-nurses-reflections-medication-errors-regional-hospital
December 23, 2020 - February 15, 2023
Type 1 diabetes defined by severe insulin deficiency occurs after 30 … years of age and is commonly treated as type 2 diabetes. … July 8, 2020
Developing a cancer-specific trigger tool to identify treatment-related
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - with type 2 diabetes admitted with hyperglycemia.( 2,3 ) Blood sugars should be in the target range … Basal insulin is started before discontinuing the insulin infusion to allow the former to reach therapeutic … Diabetes Care. 2005;28:2418-2423. [go to PubMed] 7. Karsh BT. … and just-in-time physician and nurse training on Glucommander use Improved handoffs outlining current treatment … November 8, 2017
What works in medication reconciliation: an on-treatment and site analysis
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psnet.ahrq.gov/node/49532/psn-pdf
March 15, 2007 - Comments also have been published regarding catastrophic insulin errors stemming from
inappropriate treatment … A systems approach to reducing errors in insulin therapy in the inpatient setting. … Intensive insulin therapy in the critically ill patients. N
Engl J Med. 2001;345:1359-1367. … Outcome benefit of intensive insulin therapy in the
critically ill: insulin dose versus glycemic control … Management of diabetes and hyperglycemia in hospitals. Diabetes Care. 2004;27:553-591.
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psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-support-u-500
February 24, 2016 - 2018
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment … April 23, 2014
Medication errors common for hospital diabetes.
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psnet.ahrq.gov/issue/implementation-comprehensive-unit-based-safety-program-reduce-surgical-site-infections
December 20, 2023 - December 20, 2023
Impact of errors in paper-based and computerized diabetes management … with decision support for hospitalized patients with type 2 diabetes. … impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment
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psnet.ahrq.gov/issue/regret-among-primary-care-physicians-survey-diagnostic-decisions
November 13, 2019 - , regular blood glucose tests may have prevented a stroke that likely occurred due to decompensated diabetes … impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment … sets of criteria for potentially inappropriate prescribing in older people to identify inadequate drug treatment
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psnet.ahrq.gov/node/857260/psn-pdf
November 30, 2023 - than type 2 diabetes. … A literature review of the therapeutic perspectives of sodium-glucose cotransporter-2
(SGLT2) inhibitor-induced … Ketoacidosis associated with SGLT2 inhibitor treatment:
Analysis of FAERS data.Diabetes Metab Res Rev … American Diabetes Association. 15. … Diabetes Care in the Hospital:Standards of Medical Care in
Diabetes-2021.Diabetes Care. 2021;44(Suppl