Back to Basics
Hellman R. AHRQ WebM&M [serial online]. March 2007.
For a woman with insulin-dependent diabetes mellitus, the admitting medical team ordered sliding scale insulin. Her blood glucose levels became very difficult to control, and she developed diabetic ketoacidosis. In the morning, the physician instituted a more appropriate insulin regimen.
Free full text
Resuscitation Errors: A Shocking Problem
Abella BS, Edelson DP. AHRQ WebM&M [serial online]. July 2007.
Code Blue—Where To?
Adams BD. AHRQ WebM&M [serial online]. October 2007.
The Role of Bar Coding and Smart Pumps in Safety
Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN AHRQ WebM&M [serial online]. September 2008.
Wears RL. AHRQ WebM&M [serial online]. September 2004.
View all related resources...
Find Related Resources by...
Setting of Care
Health Care Providers
Health Care Executives and Administrators
Cognitive Errors ("Mistakes")
Approach to Improving Safety
Communication between Providers
Education and Training
Clinical Information Systems
Produced for the
Agency for Healthcare Research and Quality
team of editors
University of California, San Francisco
with guidance from a prominent
. The AHRQ PSNet site was designed and implemented by Silverchair.
Contact AHRQ PSNet
Terms & Conditions
Freedom of Information Act
The White House
USA.gov: U.S. Government Official Web Portal
Agency for Healthcare Research and Quality • 540 Gaither Road Rockville, MD 20850 • Telephone: (301) 427-1364