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Thurs 11/3
MC- not reportable (nomederror/AE,ptextremelymalnourished/underweight/nutritionstatus)
Wed11/2
LS - not reportable (nomederror/AE,ptnotyetdiagnosedwithDMbut alsonot on insulindue to
difficultyeating)
Tues11/1
WA - notreportable (nomederror/AE)
Monday 10/31
PB - notreportable (nomederror/AE,self-corrected)
Sunday10/30
SM - not reportable (nomederror/AE),due tomotorcycle accident
NONEFOR SAT 10/29
Fri 10/28
AM- not reportable (due todiseasestate,notmed- glycogenstorage disease typeI)
VP - not reportable (nomederror/AE,due topooreatinghabitsandNPH dose givenduringtime)
JC - notreportable (nomederror/AE,due toincrease ininsulindose ->planto scale back)
Thurs 10/27
VP - not reportable (nomederror/AE),due topooreatinghabitsandNPHdose givenduringtime
Wed10/26
LS - not reportable (nomederror/AE)
BW - not reportable (nomederror/AE),previouslyrelatedtochange intube feeds
but unknownetiologythistime around->maybe due to critical illness?
MS - not reportable (nomederror/AE)
CB - couldbe reportable (mederror - pt given4 unitsISSat 4:25 AMfor BG 245 insteadof 3 units
accordingto protocol),butunlikely,ptissensitive toinsulindosingthough
Sun10/23
BW - not reportable atthistime/maychange (nomederror/AE - asymptomatichypoglycemia,maybe
insulin-mediatedpendingstimtestorAIcontributing) ->Keeptabsonprogress
RC - not reportable (nomederror/AE),glucose levelself-correctedwithinminutes
DM - notreportable (nomederror/AE),noindication
Sat 10/22
RJ - notreportable (nomederror/AE)
JP - not reportable (nomederror/AE),isCCuponED presentation,asymptomatichypoglycemia
Fri 10/21
JS - notreportable (nomed error/AE- unexplaineddropinBGovernight)
JH - not reportable (nomederror/AE - poorlycontrolledBG)
Thurs 10/20
HA - notreportable (nomederror/AE - couldnot recall whatshe ate ...possiblydue tonoteating
enoughfoodearlier)
Wed10/19
DM - notreportable (nomederror/AE - unexpecteddropinBG,nurse wasfollowingSSIprotocol)
Tues10/18
FW - not reportable (nomederror/AE - unexplaineddropinBG,nurse was followingSSIprotocol)
Mon 10/17
MM - not reportable (nomederror/AE)
Sun10/16
KB - notreportable (nomederror/AE),due todietaryindiscretion
Sat 10/15
BH - not reportable (nomederror/AE - patientjustate little compared
to normal meals)
DD - not reportable (nomederror/AE - suchdrastic dropin BG remains mystery)
CM - not reportable (nomederror/AE - repeattestingresultedinBG> 100 in 2 outof 3 tests) inthat
time period)
Fri 10/14
MM - not reportable (nomederror/AE - patientwasactivelydyingdue tobleedingnotstoppingdespite
active bloodproductuse)
Wed10/12
TE - not reportable (nomederror/AE - patientdecliningtoeatdespite havingmealtime insulindue to
inadequate paincontrol [wantspainmeds],whichprecipitatedhypoglycemia)
TP - not reportable (nomederror/AEonbehalf of hospital personnel,ptcountingcarbsat incorrect
interval (1unitfor every15 g insteadof 1 unitforevery10 g)
CW - mightbe reportable (cannotfindjustificationforincreasedlong-actinginsulindose,mayhave
precipitatedhypoglycemiaevent,might be ME/noADE) -> REPORT EVENT
CA - not reportable (nomederror/AE)

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Hyperglycemia Event Review Results - Patient De-identified

  • 1. Thurs 11/3 MC- not reportable (nomederror/AE,ptextremelymalnourished/underweight/nutritionstatus) Wed11/2 LS - not reportable (nomederror/AE,ptnotyetdiagnosedwithDMbut alsonot on insulindue to difficultyeating) Tues11/1 WA - notreportable (nomederror/AE) Monday 10/31 PB - notreportable (nomederror/AE,self-corrected) Sunday10/30 SM - not reportable (nomederror/AE),due tomotorcycle accident NONEFOR SAT 10/29 Fri 10/28 AM- not reportable (due todiseasestate,notmed- glycogenstorage disease typeI) VP - not reportable (nomederror/AE,due topooreatinghabitsandNPH dose givenduringtime) JC - notreportable (nomederror/AE,due toincrease ininsulindose ->planto scale back) Thurs 10/27 VP - not reportable (nomederror/AE),due topooreatinghabitsandNPHdose givenduringtime Wed10/26 LS - not reportable (nomederror/AE) BW - not reportable (nomederror/AE),previouslyrelatedtochange intube feeds but unknownetiologythistime around->maybe due to critical illness? MS - not reportable (nomederror/AE) CB - couldbe reportable (mederror - pt given4 unitsISSat 4:25 AMfor BG 245 insteadof 3 units accordingto protocol),butunlikely,ptissensitive toinsulindosingthough Sun10/23
  • 2. BW - not reportable atthistime/maychange (nomederror/AE - asymptomatichypoglycemia,maybe insulin-mediatedpendingstimtestorAIcontributing) ->Keeptabsonprogress RC - not reportable (nomederror/AE),glucose levelself-correctedwithinminutes DM - notreportable (nomederror/AE),noindication Sat 10/22 RJ - notreportable (nomederror/AE) JP - not reportable (nomederror/AE),isCCuponED presentation,asymptomatichypoglycemia Fri 10/21 JS - notreportable (nomed error/AE- unexplaineddropinBGovernight) JH - not reportable (nomederror/AE - poorlycontrolledBG) Thurs 10/20 HA - notreportable (nomederror/AE - couldnot recall whatshe ate ...possiblydue tonoteating enoughfoodearlier) Wed10/19 DM - notreportable (nomederror/AE - unexpecteddropinBG,nurse wasfollowingSSIprotocol) Tues10/18 FW - not reportable (nomederror/AE - unexplaineddropinBG,nurse was followingSSIprotocol) Mon 10/17 MM - not reportable (nomederror/AE) Sun10/16 KB - notreportable (nomederror/AE),due todietaryindiscretion Sat 10/15
  • 3. BH - not reportable (nomederror/AE - patientjustate little compared to normal meals) DD - not reportable (nomederror/AE - suchdrastic dropin BG remains mystery) CM - not reportable (nomederror/AE - repeattestingresultedinBG> 100 in 2 outof 3 tests) inthat time period) Fri 10/14 MM - not reportable (nomederror/AE - patientwasactivelydyingdue tobleedingnotstoppingdespite active bloodproductuse) Wed10/12 TE - not reportable (nomederror/AE - patientdecliningtoeatdespite havingmealtime insulindue to inadequate paincontrol [wantspainmeds],whichprecipitatedhypoglycemia) TP - not reportable (nomederror/AEonbehalf of hospital personnel,ptcountingcarbsat incorrect interval (1unitfor every15 g insteadof 1 unitforevery10 g) CW - mightbe reportable (cannotfindjustificationforincreasedlong-actinginsulindose,mayhave precipitatedhypoglycemiaevent,might be ME/noADE) -> REPORT EVENT CA - not reportable (nomederror/AE)