AHRQ Patient Safety Network

The Collection > Endocrinology

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Safety Target

•Device-related Complications (4)

•Diagnostic Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (2)

•Medication Safety (14)

•Medical Complications (3)

Origin/Sponsor

•Australia and New Zealand (1)

•Europe (5)

•North America (17)

Resource Types

•Book/Report (2)

•Journal Article (12)

•Newspaper/Magazine Article (6)

•Press Release/Announcement (3)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (6)

•Active Errors (9)

•Latent Errors (1)

Approach to Improving Safety

•Quality Improvement Strategies (13)

•Error Reporting and Analysis (6)

•Communication Improvement (3)

•Human Factors Engineering (3)

•Teamwork (2)

•Specialization of Care (2)

•Culture of Safety (2)

•Technologic Approaches (2)

•Education and Training (7)

Clinical Areas
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Endocrinology

Target Audience

•Health Care Providers (21)

•Health Care Executives and Administrators (17)

•Non-Health Care Professionals (2)

•Patients (2)

Setting of Care

•Hospitals (10)

•Ambulatory Care (7)

1 - 20 of 24

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STUDY

Organizational culture, team climate and diabetes care in small office-based practices.

Bosch M, Dijkstra R, Wensing M, van der Weijden T, Grol R. BMC Health Serv Res. 2008;8:180.

REVIEW

Patient safety systems in the primary health care of diabetes—a story of missed opportunities?

Taub N, Baker R, Khunti K, et al. Diabet Med. 2010;27:1322-1326.

STUDY

Miscoding, misclassification and misdiagnosis of diabetes in primary care.

de Lusignan S, Sadek N, Mulnier H, Tahir A, Russell-Jones D, Khunti K. Diabet Med. 2012;29:181-189.

STUDY

Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic.

Taylor CR, Hepworth JT, Buerhaus PI, Dittus R, Speroff T. Qual Saf Health Care. 2007;16:244-247.

STUDY

What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes.

Sarkar U, Handley MA, Gupta R, et al. Qual Saf Health Care. 2010;19:223-228.

BOOK/REPORT

Commission of Inquiry on Hormone Receptor Testing.

Cameron M. St. John's, NL: Government of Newfoundland and Labrador; 2009. ISBN: 978551463537.

BOOK/REPORT

National Diabetes Inpatient Audit 2011.

Leeds, UK: Health and Social Care Information Centre; 2012.

NEWSPAPER/MAGAZINE ARTICLE

A clinical reminder about the safe use of insulin vials.

ISMP Medication Safety Alert! Acute Care Edition. February 21, 2013;18:1-3.

STUDY

Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error?

Lovig KO, Horwitz L, Lipska K, Kosiborod M, Krumholz HM, Inzucchi SE. Jt Comm J Qual Patient Saf. 2012;38:403-407.

NEWSPAPER/MAGAZINE ARTICLE

An overlooked condition.

Nicholas L. Modern Healthc. November 14, 2005;35:24.

COMMENTARY

Avoiding errors associated with insulin therapy.

Cohen H. Medscape CME/CE. May 14, 2009.

STUDY

Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy.

Dooley MJ, Wiseman M, McRae A, et al. BMJ Qual Saf. 2011;20:637-644.

NEWSPAPER/MAGAZINE ARTICLE

FDA Advise-ERR: prevent dangerous drug-device interaction causing falsely elevated glucose levels.

ISMP Medication Safety Alert! Acute Care Edition. June 19, 2008;13:1-3.

COMMENTARY

Are Two Insulin Pumps Better Than One?

Cook CB. AHRQ WebM&M [serial online]. January 2009.

PRESS RELEASE/ANNOUNCEMENT

Parenteral Maltose/Parenteral Galactose/Oral Xylose-Containing Products.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; May 21, 2009.

MULTI-USE WEBSITE

AACE Patient Safety Exchange.

American Association of Clinical Endocrinologists.

STUDY

Ambiguities of chronic illness management and challenges to the medical error paradigm.

Lutfey KE, Freese J. Soc Sci Med. 2007;64:314-25.

PRESS RELEASE/ANNOUNCEMENT

Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 13, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors common for hospital diabetes.

Nursing Times. April 1, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors with the dosing of insulin: problems across the continuum.

PA-PSRS Patient Saf Advis. March 2010;7:9-17.

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