Recurrent Hypoglycemia: A Care Transition Failure?
Eytan T. AHRQ WebM&M [serial online]. October 2008.
An elderly, non–English-speaking man with diabetes was admitted to the hospital twice in 8 days due to hypoglycemia. At discharge, the patient was instructed not to take any antidiabetic medications. In between hospitalizations, he saw his primary care physician, who restarted an antidiabetic medication.
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Sick and Pregnant
El-Ibiary S. AHRQ WebM&M [serial online]. November 2008.
Patient Safety: A Perspective from Office Practice.
Baron RJ. AHRQ WebM&M [serial online]. May 2009.
Forster A. AHRQ WebM&M [serial online]. December 2004.
Adams JG. AHRQ WebM&M [serial online]. June 2003.
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Setting of Care
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Discontinuities, Gaps, and Hand-Off Problems
Medication Errors/Preventable Adverse Drug Events
Approach to Improving Safety
Communication between Providers
Health Literacy Improvement
Computerized Decision Support
Electronic Health Records
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