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psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - events were most
commonly due to nonadherence or underuse, untreated medical problems, and lack of therapeutic
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psnet.ahrq.gov/web-mm/central-not-epidural
August 28, 2024 - between intravenous, epidural, intracranial, intrathecal, gas, and other tubing systems used for patient therapy … Mishap
February 1, 2014
WebM&M Cases
Not-So-Therapeutic
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psnet.ahrq.gov/node/49526/psn-pdf
December 01, 2006 - The priority treatment
goal that characterizes the early phase of psychotherapy is to help the patient … A common error in treatment of patients with BPD is to underestimate the
importance of self-injurious … There is controversy about the role of the hospital, particularly regarding its therapeutic
https:// … Practice guideline for the treatment of patients with
borderline personality disorder. … Practice guideline for the assessment and treatment of patients with suicidal behaviors.
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psnet.ahrq.gov/node/49707/psn-pdf
April 01, 2014 - One week of appropriate H. pylori treatment resulted in no improvement in symptoms; in fact, the
patient … Consequently, the risks associated with ARV "polypharmacy" are compounded by the treatments
associated … The Helicobacter pylori treatment presumably included clarithromycin, and this
antibiotic CYP3A4 inhibitor … In addition, practicing medicine unaware of therapies given by a
patient's other providers negates the … Formally communicate and review your therapeutic measures with both patients and your
colleagues.
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psnet.ahrq.gov/node/49716/psn-pdf
August 21, 2014 - The Commentary
Vascular access is a cornerstone of modern medical therapeutics. … Placing a vascular access device directly into the marrow cavity for medical treatment dates as far back … as
the 1920s.(1) These devices were used during World War II for the treatment of shock (2), but later
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psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
February 15, 2017 - The hyponatremia that is occasionally observed under treatment with loop diuretics is usually due to … However, the patient should be monitored closely, and diuretic treatment should be stopped if weight … Nevertheless, thiazide diuretics remain a valuable therapeutic option in treating hypertension, and most … For the treatment of hypertension, 12.5 mg to 25 mg doses are recommended. … These measures include using low starting doses and intensified monitoring around the time of treatment
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psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
June 16, 2021 - and in which clinicians are required to provide care to an unlimited number of people seeking urgent treatment … aspects include the following: the generic name of the medication, dose, directions, and duration of therapy … clinicians.( 3 ) IV phenytoin is an example of a high-alert medication that has a narrow window between the therapeutic
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psnet.ahrq.gov/node/49465/psn-pdf
December 22, 2021 - In
one study, 40% of encounters had no diagnosis recorded and 30% had no therapeutic agent recorded. … (3)
In another study, up to 49% of the visits did not include a well-defined treatment plan in the record
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psnet.ahrq.gov/node/49595/psn-pdf
December 01, 2009 - The patient was contacted and
asked to return to the ED for initiation of treatment with low-molecular-weight … She completed 3 months of therapy,
and a follow-up ultrasound showed resolution of her deep vein thrombosis … /#references
clinic or ED, fatigue, diverted attention—at the moment a report is received and the treatment … bring about confusion
and unexpected consequences, but the effort holds the promise of ensuring proper treatment … The superficial femoral vein: a cause of therapeutic error. Lancet.
1996;348:1670.
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psnet.ahrq.gov/node/49644/psn-pdf
December 01, 2011 - providers must be able to quickly recognize vision- or eye-threatening diseases and
institute prompt treatment … important to note, however, that the EM physician must be able to
diagnose, as well as start immediate therapeutic … There are several ocular diseases and injuries that require immediate treatment prior to the arrival … These conditions also may result in permanent visual loss if treatment is delayed.
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psnet.ahrq.gov/node/33834/psn-pdf
May 22, 2017 - perspective/opioid-overdose-patient-safety-problem
Perspective
Opioids serve a valuable role in the treatment … 4) Besides affecting quality of life, management of these adverse
events often involves additional therapeutics … Evidence-based guidelines for the
treatment of chronic pain in primary care, such as those developed … to the opioid epidemic, including the
redesign of payment policies to promote the use of nonopioid treatments … The effectiveness and risks of long-term opioid therapy for chronic
pain: a systematic review for a
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psnet.ahrq.gov/node/49517/psn-pdf
August 01, 2006 - most serious opioid-related adverse effect, is most common within
several days of beginning scheduled therapy … The error in this case was attributed to therapeutic conversion using a nonequivalent analgesic dose. … ratios different
from those shown in the Table may be appropriate for patients on long-term opioid therapy … be a routine
part of caring for persons who receive opioid analgesics, particularly when starting treatment … Principles of Analgesic Use in the Treatment of Acute Pain and
Cancer Pain. 5th ed.
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psnet.ahrq.gov/node/49718/psn-pdf
January 01, 2015 - Oral potassium repletion is considered first-line therapy; intravenous repletion should be saved for … 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. … potassium concentration
Preparation of potassium salts
Potassium chloride: most effective and first line treatment
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psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
April 01, 2006 - Typically, pharmacists spend little or no time assessing the patient for therapeutic or adverse drug … care (eg, immunizations), and partner with physicians and nurses to use evidence-based, cost-effective treatments … We have taught our students well to solve therapeutic problems through the use of case studies and advanced … With medication management therapy, we're starting to see for the first time pharmacists being able to … be reimbursed for talking to a patient, educating them, and monitoring their therapy.
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psnet.ahrq.gov/node/49521/psn-pdf
September 12, 2006 - She responded well to medical
therapy, and surgical valve repair was scheduled. … she noticed that the patient was receiving penicillamine (a non-antibiotic
medication used in the treatment … The survey included a series of test orders with problems such as therapeutic duplication,
drug-drug … selection likely would have prevented the error in this case, because penicillamine is used for
the treatment
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psnet.ahrq.gov/web-mm/troubling-amine
September 01, 2003 - She responded well to medical therapy, and surgical valve repair was scheduled. … , she noticed that the patient was receiving penicillamine (a non-antibiotic medication used in the treatment … The survey included a series of test orders with problems such as therapeutic duplication, drug-drug … selection likely would have prevented the error in this case, because penicillamine is used for the treatment
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psnet.ahrq.gov/node/49632/psn-pdf
July 01, 2011 - are important
distinguishing features.(11) First, the year-end transfer often terminates a long-term treatment … Finally, patient factors such as
adherence to and engagement in treatment plans are more problematic … and how incoming residents should approach the initial visit,
prioritize tasks, and establish a new therapeutic
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psnet.ahrq.gov/node/49397/psn-pdf
May 01, 2003 - The patient’s pneumothorax ultimately resolved with conservative treatment, and she received palliative … huddled around a dyspneic patient as they perform a thoracentesis
evokes images of medicine’s finest therapeutic … psnet.ahrq.gov//#references
Competencies Requirements
Patient Care
Compassionate, appropriate, and effective treatment
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psnet.ahrq.gov/web-mm/xl-or-smaller
September 13, 2017 - calcium channel blockers were reported.( 1 ) Some of these cases, like the case presented, were due to therapeutic … immediate release formulations, controlled-release formulations may improve patients’ adherence to treatment … Another reason is that cardiovascular drugs, hormonal replacement therapy, and psychiatric drugs, which … The lack of knowledge and the application of knowledge regarding a specific drug therapy is another risk
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psnet.ahrq.gov/node/49502/psn-pdf
February 01, 2006 - A therapeutic thoracentesis was performed, which relieved the patient’s symptoms, but the
etiology of … that a request for DNR should not be
generalized, absent specific discussion, to limitation of other treatment