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  1. Spotlight (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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
  3. 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
  4. Psn-Pdf (pdf file)

    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/
  5. Psn-Pdf (pdf file)

    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/…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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.…
  8. 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.
  9. 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
  10. 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.
  11. 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.
  12. 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.
  13. 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.
  14. 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.
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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.
  17. Psn-Pdf (pdf file)

    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/…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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
  20. Psn-Pdf (pdf file)

    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 …

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