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psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting
August 03, 2017 - impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment … May 10, 2023
Impact of errors in paper-based and computerized diabetes management with … decision support for hospitalized patients with type 2 diabetes.
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psnet.ahrq.gov/issue/medication-safety-and-knowledge-based-functions-stepwise-approach-against-information
December 22, 2008 - impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment … June 8, 2022
Impact of errors in paper-based and computerized diabetes management with … decision support for hospitalized patients with type 2 diabetes.
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psnet.ahrq.gov/issue/clinician-perspectives-management-abnormal-subcritical-tests-urban-academic-safety-net-health
February 22, 2011 - interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes … Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. … 2014
Root cause analysis reports help identify common factors in delayed diagnosis and treatment
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psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
February 01, 2023 - than type 2 diabetes. … One example of such a system, tailored to support preoperative management of patients with 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 Care in the Hospital: Standards of Medical Care in Diabetes-2021 .
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psnet.ahrq.gov/issue/homenet-ensuring-patient-safety-medical-device-use-home
June 18, 2014 - 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/issue/patient-safety-culture-home-care-experiences-home-care-nurses
July 02, 2008 - Safety risks associated with physical interactions between patients and caregivers during treatment … August 18, 2010
Insulin treatment as a tracer for identifying latent patient safety risks … in home-based diabetes care.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
October 01, 2010 - patient safety oversight
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Case: Dangerous Dialysis
A 48-year-old man with a long history of diabetes … National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases: Bethesda … Prevalence of Errors
One retrospective study found 1 error or adverse event for every 733 dialysis treatments … a mistake or error in a dialysis treatment in the last 3 months
See Notes for references … Characteristics and treatment of patients not reusing dialyzers in reuse units.
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psnet.ahrq.gov/issue/medication-sharing-storage-and-disposal-practices-opioid-medications-among-us-adults
March 30, 2022 - Same Author(s)
Effects of state opioid prescribing laws on use of opioid and other pain treatments … November 14, 2018
Type 1 diabetes defined by severe insulin deficiency occurs after 30 … years of age and is commonly treated as type 2 diabetes.
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psnet.ahrq.gov/web-mm/dangerous-dialysis
June 12, 2024 - The Case
A 48-year-old man with a long history of diabetes and end-stage renal disease (ESRD) on hemodialysis … and then reusing it for subsequent treatments in the same patient. … per day, or more than 500 treatments per week. … to limit the number of patients initiating therapy at the same time may all reduce the potential for … National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases: Bethesda
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psnet.ahrq.gov/issue/frequency-failure-inform-patients-clinically-significant-outpatient-test-results
April 24, 2018 - interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes … Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. … March 12, 2014
The frequency of missed test results and associated treatment delays in
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psnet.ahrq.gov/periodic-issue/periodic-issue-462
October 30, 2024 - Timely diagnosis ensures these patients and their caregivers receive appropriate treatment and support … Study
Therapeutic errors involving diabetes medications reported to United States … Errors in the administration of diabetes medications can result in emergency department visits, hospitalizations … Using National Poison Data System data, researchers found that errors involving diabetes medications … increased headache and was diagnosed with post-concussive syndrome and discharged without specific treatment
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psnet.ahrq.gov/node/49786/psn-pdf
March 01, 2017 - The Case
A 76-year-old woman with history of hypertension, diabetes, and advanced dementia was brought … The committee believed
the overly aggressive treatment had led to the patient's death. … These treatments are costly, prolong hospital length of stay, and often are
continued as an outpatient … The patient might have received hydration and physical therapy, and
perhaps the providers could have … coronary artery disease using CT
angiography on mortality and cardiac events in high-risk patients with diabetes
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psnet.ahrq.gov/node/49609/psn-pdf
October 01, 2010 - The Case
A 48-year-old man with a long history of diabetes and end-stage renal disease (ESRD) on hemodialysis … and then reusing it for subsequent treatments in the same patient. … per day, or more than 500
treatments per week. … to limit the number of patients initiating therapy at the same time may all
reduce the potential for … National Institutes of Health, National Institute of Diabetes and
Digestive and Kidney Diseases: Bethesda
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psnet.ahrq.gov/issue/laboratory-test-ordering-and-results-management-systems-qualitative-study-safety-risks
March 16, 2016 - 2016
Root cause analysis reports help identify common factors in delayed diagnosis and treatment … November 14, 2011
The frequency of missed test results and associated treatment delays … February 24, 2011
Patient safety systems in the primary health care of diabetes—a story
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psnet.ahrq.gov/web-mm/consequences-medical-overuse
May 05, 2021 - The Case
A 76-year-old woman with history of hypertension, diabetes, and advanced dementia was brought … The committee believed the overly aggressive treatment had led to the patient's death. … These treatments are costly, prolong hospital length of stay, and often are continued as an outpatient … coronary artery disease using CT angiography on mortality and cardiac events in high-risk patients with diabetes … March 15, 2023
To expand the evidence base about harms from tests and treatments.
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psnet.ahrq.gov/issue/shifting-risks-night
July 06, 2011 - July 6, 2011
Medical mystery: alcoholism didn’t cause man’s diabetes and cirrhosis. … 2011
Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment
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psnet.ahrq.gov/issue/advocate-redi-code-blood-glucose-test-strips-diabetic-supply-suncoast-recall-labeling-error
August 05, 2020 - the label that could result in accidental misuse of test strips and potential delays in diagnosis and treatment
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - creates a seamless, legible, comprehensive, and enduring record of a
patient's health history and treatment … Similarly, in a
case study of electronic prescribing for patients with diabetes in a safety net clinic … recommended universal
medication scheduling practices for instructing patients when to take their diabetes … health literacy and low
English proficiency and can thereby reduce mistakes in adherence to prescribed therapy … of interface may result in errors in clinical
decision making and contribute to errors or delays in treatment
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psnet.ahrq.gov/issue/medication-errors-dosing-insulin-problems-across-continuum
March 14, 2012 - 2018
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment … September 18, 2013
Medication errors common for hospital diabetes.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.275_slideshow.ppt
August 01, 2012 - often tests are missed in the outpatient setting
In one study, 15% of abnormal tests suggestive of diabetes … were never followed up by clinicians; about 9% of these patients had unrecognized (and untreated) diabetes … Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment … 2007;30:338-343. http://www.ncbi.nlm.nih.gov/pubmed/17873665
16
Ability to order additional tests or treatments … Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment