The PSNet Collection: All Content
Search All Content
Rockville, MD: Agency for Healthcare Quality and Research; August 22, 2023.
West S. KFF Health News. August 24, 2023.
Desjardins L. PBS NewsHour. August 29, 2023.
A 31-year-old pregnant patient with type 1 diabetes on an insulin pump was hospitalized for euglycemic diabetic ketoacidosis (DKA). She was treated for dehydration and vomiting, but not aggressively enough, and her metabolic acidosis worsened over several days. The primary team hesitated to prescribe medications safe in pregnancy and delayed reaching out to the Maternal Fetal Medicine (MFM) consultant, who made recommendations but did not ensure that the primary team received and understood the information.
Kwon S. KFF Health News. August 8, 2023
Rockville, MD: Agency for Healthcare Research and Quality; July 2023.
Burton S. New York Times and Serial Productions. June 30-July 27, 2023.
Board on Health Care Services, National Academies of Science, Engineering, and Medicine. Arnold and Mabel Beckman Center, Irvine, CA. July 27, 2023.
Gammon K. STAT. June 26, 2023.
A 25-year-old obese patient required an emergency cesarean delivery. As the obstetric team was in a hurry to deliver the baby, the team huddle was rushed. After the delivery, the anesthesia care provider discovered that the patient had received subcutaneous enoxaparin 40 mg four hours preoperatively, which was not mentioned by the obstetric team during the previous huddle.