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psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
January 01, 2023 - health care situations.
4
Case Details (1)
• A 31-year-old nulliparous woman with a history of type … MD
8
BACKGROUND
9
Background (1)
• This case describes a 31-year-old pregnant patient with type … 1 DM, euglycemic DKA can also occur in patients with type 2
DM … dopamine
receptor antagonist, and then switched to ondansetron, a serotonin 5-
hydroxytryptamine (type … Level of glycemic control and pregnancy outcome in type 1 diabetes: a comparison
between multiple daily
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psnet.ahrq.gov/node/860015/psn-pdf
September 01, 2024 - Devices
Devices are any type of equipment or tools that have designated functions used
during a procedure … or device fragment and (2) keeps a record of cases to
identify trends and patterns (for example, by type … of procedure, by type of retained item, by manufacturer,
by practitioner) that may highlight opportunities … 30%) involved SMI and device fragments.
9 cases (11%) involved instruments.
7/9 cases involved one type … reported to internal facility reporting systems (with drill bits lodged in bone as the most common type
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psnet.ahrq.gov/issue/understanding-types-and-effects-clinical-interruptions-and-distractions-recorded
February 22, 2019 - A text mining approach to categorize patient safety event reports by medication error type
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psnet.ahrq.gov/node/40565/psn-pdf
June 29, 2011 - The administration phase was the most error-prone, and the most common error type was improper
dose/
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psnet.ahrq.gov/node/38083/psn-pdf
September 24, 2008 - Sources and types of discrepancies between electronic
medical records and actual outpatient medication use.
September 24, 2008
Orrico KB. Sources and types of discrepancies between electronic medical records and actual outpatient
medication use. J Manag Care Pharm. 2008;14(7):626-631.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/38950/psn-pdf
June 02, 2010 - Medication errors in chemotherapy: incidence, types and
involvement of patients in prevention. A review of the
literature.
June 2, 2010
Schwappach DLB, Wernli M. Medication errors in chemotherapy: incidence, types and involvement of
patients in prevention. A review of the literature. Eur J Cancer Care (Engl). 2010…
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psnet.ahrq.gov/node/37812/psn-pdf
August 27, 2008 - Types, prevalence, and potential clinical significance of
medication administration errors in assisted living.
August 27, 2008
Young HM, Gray SL, McCormick WC, et al. Types, prevalence, and potential clinical significance of
medication administration errors in assisted living. J Am Geriatr Soc. 2008;56(7):1199-205.…
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psnet.ahrq.gov/issue/association-use-mandatory-prescription-drug-monitoring-program-prescribing-practices-patients
March 01, 2023 - September 23, 2020
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/issue/how-prevent-or-reduce-prescribing-errors-evidence-brief-policy-authors
July 27, 2022 - Medication-related hospital readmissions within 30 days of discharge: prevalence, preventability, type … July 22, 2011
Frequency, type and clinical importance of medication history errors at
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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.
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psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk
October 04, 2023 - October 25, 2023
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/issue/medication-sharing-storage-and-disposal-practices-opioid-medications-among-us-adults
March 30, 2022 - 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/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.
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psnet.ahrq.gov/issue/automation-i-pass-tool-improve-transitions-care
August 04, 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.
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psnet.ahrq.gov/node/34839/psn-pdf
April 06, 2011 - Communication failures in the operating room: an
observational classification of recurrent types and
effects.
April 6, 2011
Lingard L, Espin S, Whyte S, et al. Communication failures in the operating room: an observational
classification of recurrent types and effects. Qual Saf Health Care. 2004;13(5):330-4.
http…
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psnet.ahrq.gov/node/49577/psn-pdf
January 01, 2009 - https://psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
The Case
A 62-year-old man with type … duration
of diabetes of the 35 patients were 55 and 32 years, respectively; 66% were women, and 91% had type … To avoid the type of
error illustrated by the case, hospitals should have in place a policy and set … subcutaneous insulin infusion at 25 years: evidence base for the
expanding use of insulin pump therapy in type … Presence of insulin pump, brand of pump, and insulin type are identified.
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psnet.ahrq.gov/node/45420/psn-pdf
December 04, 2016 - Patients' perception of types of errors in palliative
care—results from a qualitative interview study.
December 4, 2016
Kiesewetter I, Schulz CM, Bausewein C, et al. Patients' perception of types of errors in palliative care -
results from a qualitative interview study. BMC Palliat Care. 2016;15(1):75. doi:10.1186/…
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psnet.ahrq.gov/node/44898/psn-pdf
November 23, 2016 - Types and patterns of safety concerns in home care:
client and family caregiver perspectives.
November 23, 2016
Tong CE, Sims-Gould J, Martin-Matthews A. Types and patterns of safety concerns in home care: client
and family caregiver perspectives. Int J Qual Health Care. 2016;28(2):214-220.
doi:10.1093/intqhc/mzw0…
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psnet.ahrq.gov/node/34705/psn-pdf
June 23, 2015 - The authors outline the rates
of error by medical specialty, error type, and medication class (for errors
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psnet.ahrq.gov/node/42724/psn-pdf
December 06, 2013 - Adverse drug events after hospital discharge in older
adults: types, severity, and involvement of Beers criteria
medications.
December 6, 2013
Kanaan AO, Donovan JL, Duchin NP, et al. Adverse drug events after hospital discharge in older adults:
types, severity, and involvement of Beers Criteria Medications. J Am …