{"id":"https://openalex.org/W2161836876","doi":"https://doi.org/10.7326/0003-4819-137-2-200207160-00009","title":"Unexpected Hypoglycemia in a Critically Ill Patient","display_name":"Unexpected Hypoglycemia in a Critically Ill Patient","publication_year":2002,"publication_date":"2002-07-16","ids":{"openalex":"https://openalex.org/W2161836876","doi":"https://doi.org/10.7326/0003-4819-137-2-200207160-00009","mag":"2161836876","pmid":"https://pubmed.ncbi.nlm.nih.gov/12118966"},"language":"en","primary_location":{"id":"doi:10.7326/0003-4819-137-2-200207160-00009","doi":"https://doi.org/10.7326/0003-4819-137-2-200207160-00009","is_oa":false,"landing_page_url":"https://doi.org/10.7326/0003-4819-137-2-200207160-00009","pdf_url":null,"source":{"id":"https://openalex.org/S119722071","display_name":"Annals of Internal Medicine","issn_l":"0003-4819","issn":["0003-4819","1539-3704"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316812","host_organization_name":"American College of Physicians","host_organization_lineage":["https://openalex.org/P4310316812"],"host_organization_lineage_names":["American College of Physicians"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5036110536","display_name":"David Westfall Bates","orcid":"https://orcid.org/0000-0001-6268-1540","observed_orcids":["https://orcid.org/0000-0001-6268-1540","https://orcid.org/0000-0003-4850-2360","https://orcid.org/0000-0001-7438-9491","https://orcid.org/0000-0002-3105-156X","https://orcid.org/0000-0001-5440-6039"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"David W. Bates","raw_affiliation_strings":["From Brigham and Women's Hospital, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From Brigham and Women's Hospital, Boston, Massachusetts","institution_ids":["https://openalex.org/I1283280774"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5036110536"],"corresponding_institution_ids":["https://openalex.org/I1283280774"],"apc_list":null,"apc_paid":null,"fwci":4.4778,"has_fulltext":false,"cited_by_count":57,"citation_normalized_percentile":{"value":0.94372029,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"137","issue":"2","first_page":"110","last_page":"116"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12574","display_name":"Clinical Reasoning and Diagnostic Skills","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11943","display_name":"Pharmacovigilance and Adverse Drug Reactions","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3005","display_name":"Toxicology"},"field":{"id":"https://openalex.org/fields/30","display_name":"Pharmacology, Toxicology and Pharmaceutics"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/iatrogenic-hypoglycemia","display_name":"iatrogenic hypoglycemia","score":0.9729999899864197},{"id":"https://openalex.org/keywords/medication-errors","display_name":"medication errors","score":0.902999997138977},{"id":"https://openalex.org/keywords/insulin-administration-errors","display_name":"insulin administration errors","score":0.5640000104904175},{"id":"https://openalex.org/keywords/heparin","display_name":"heparin","score":0.753000020980835},{"id":"https://openalex.org/keywords/critically-ill-patients","display_name":"critically ill patients","score":0.7490000128746033},{"id":"https://openalex.org/keywords/root-cause-analysis","display_name":"root cause analysis","score":0.8389999866485596},{"id":"https://openalex.org/keywords/medication-error-prevention","display_name":"medication error prevention","score":0.8859999775886536},{"id":"https://openalex.org/keywords/barcoding","display_name":"barcoding","score":0.4690000116825104},{"id":"https://openalex.org/keywords/safety-culture","display_name":"safety culture","score":0.7720000147819519},{"id":"https://openalex.org/keywords/adverse-drug-reactions","display_name":"adverse drug reactions","score":0.8199999928474426},{"id":"https://openalex.org/keywords/patient-safety","display_name":"patient safety","score":0.5080000162124634}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8875303864479065},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.6746180057525635},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.5899207592010498},{"id":"https://openalex.org/C2780668416","wikidata":"https://www.wikidata.org/wiki/Q202758","display_name":"Hypoglycemia","level":3,"score":0.553553581237793},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.4895819127559662},{"id":"https://openalex.org/C130963320","wikidata":"https://www.wikidata.org/wiki/Q1401207","display_name":"Root cause analysis","level":2,"score":0.4693886637687683},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.446048378944397},{"id":"https://openalex.org/C2991859549","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Critically ill","level":2,"score":0.4281308948993683},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.2749536633491516},{"id":"https://openalex.org/C2779306644","wikidata":"https://www.wikidata.org/wiki/Q2002370","display_name":"Insulin","level":2,"score":0.12592798471450806},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.10472992062568665},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C77595967","wikidata":"https://www.wikidata.org/wiki/Q3151013","display_name":"Forensic engineering","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001026","descriptor_name":"Coronary Artery Bypass","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003422","descriptor_name":"Critical Care","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007003","descriptor_name":"Hypoglycemia","qualifier_ui":"Q000139","qualifier_name":"chemically induced","is_major_topic":true},{"descriptor_ui":"D007003","descriptor_name":"Hypoglycemia","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D007004","descriptor_name":"Hypoglycemic Agents","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":false},{"descriptor_ui":"D007049","descriptor_name":"Iatrogenic Disease","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D007049","descriptor_name":"Iatrogenic Disease","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D007328","descriptor_name":"Insulin","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":false},{"descriptor_ui":"D007362","descriptor_name":"Intensive Care Units","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D008508","descriptor_name":"Medication Errors","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D010043","descriptor_name":"Outcome and Process Assessment, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.7326/0003-4819-137-2-200207160-00009","doi":"https://doi.org/10.7326/0003-4819-137-2-200207160-00009","is_oa":false,"landing_page_url":"https://doi.org/10.7326/0003-4819-137-2-200207160-00009","pdf_url":null,"source":{"id":"https://openalex.org/S119722071","display_name":"Annals of Internal Medicine","issn_l":"0003-4819","issn":["0003-4819","1539-3704"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316812","host_organization_name":"American College of Physicians","host_organization_lineage":["https://openalex.org/P4310316812"],"host_organization_lineage_names":["American College of Physicians"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Internal Medicine","raw_type":"journal-article"},{"id":"pmid:12118966","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12118966","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of internal medicine","raw_type":"Case Reports"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":55,"referenced_works":["https://openalex.org/W21121700","https://openalex.org/W32463010","https://openalex.org/W157477409","https://openalex.org/W192935245","https://openalex.org/W1529317167","https://openalex.org/W1848004930","https://openalex.org/W1909108904","https://openalex.org/W1961197524","https://openalex.org/W1971040337","https://openalex.org/W1976920941","https://openalex.org/W1981470700","https://openalex.org/W2010762993","https://openalex.org/W2032072653","https://openalex.org/W2033387118","https://openalex.org/W2033919761","https://openalex.org/W2034202446","https://openalex.org/W2048070277","https://openalex.org/W2056407049","https://openalex.org/W2057295591","https://openalex.org/W2067068312","https://openalex.org/W2072701288","https://openalex.org/W2089582774","https://openalex.org/W2097875399","https://openalex.org/W2105037078","https://openalex.org/W2110777766","https://openalex.org/W2127264449","https://openalex.org/W2130425939","https://openalex.org/W2146186753","https://openalex.org/W2146938005","https://openalex.org/W2147666153","https://openalex.org/W2150756606","https://openalex.org/W2166858912","https://openalex.org/W2170216261","https://openalex.org/W2259989678","https://openalex.org/W2312219437","https://openalex.org/W2323262607","https://openalex.org/W2324093677","https://openalex.org/W2334007385","https://openalex.org/W2337121097","https://openalex.org/W2402593922","https://openalex.org/W2403511960","https://openalex.org/W2404773650","https://openalex.org/W2407200098","https://openalex.org/W2411232590","https://openalex.org/W2412785146","https://openalex.org/W2414526909","https://openalex.org/W2416978724","https://openalex.org/W2442271781","https://openalex.org/W2911548617","https://openalex.org/W4237288601","https://openalex.org/W4243181481","https://openalex.org/W4243217122","https://openalex.org/W4244366149","https://openalex.org/W4250755387","https://openalex.org/W4285719527"],"related_works":["https://openalex.org/W1616764833","https://openalex.org/W3161801837","https://openalex.org/W2412785146","https://openalex.org/W2092102683","https://openalex.org/W1998728109","https://openalex.org/W4237288601","https://openalex.org/W2018446266","https://openalex.org/W2247359210","https://openalex.org/W3157318964","https://openalex.org/W2969499239"],"abstract_inverted_index":{"Administration":[0],"of":[1,28,39,50,59,65,81,86,129,149,158,177],"the":[2,18,26,48,60,71,79,82,87,96,102,147,159],"wrong":[3,61],"medication":[4,33,106,144],"is":[5],"a":[6,51,175,198],"serious":[7],"and":[8,32,95,131,162,185,192],"understudied":[9],"problem.":[10],"Because":[11],"physicians":[12],"are":[13],"not":[14],"directly":[15],"involved":[16],"in":[17,35,115,188],"drug":[19,30],"administration":[20,58],"process,":[21],"they":[22],"tend":[23],"to":[24,57,69,77,90,172,182,196],"overlook":[25],"possibility":[27],"adverse":[29,93,186],"events":[31,187],"errors":[34,184],"their":[36],"differential":[37],"diagnoses":[38],"patient":[40,52],"illnesses":[41],"or":[42],"acute":[43],"deterioration.":[44],"This":[45],"article":[46,100],"analyzes":[47],"case":[49,117],"with":[53,156],"iatrogenic":[54],"hypoglycemia":[55],"due":[56],"medication:":[62],"Insulin":[63],"instead":[64],"heparin":[66],"was":[67],"used":[68],"flush":[70],"patient's":[72],"arterial":[73],"line.":[74],"In":[75],"addition":[76],"assessing":[78],"results":[80],"institution's":[83,97],"\"root-cause":[84],"analysis\"":[85],"factors":[88],"contributing":[89],"this":[91,99,116,167],"particular":[92],"event":[94],"response,":[98],"reviews":[101],"literature":[103],"on":[104],"preventing":[105],"errors.":[107],"Key":[108],"strategies":[109],"that":[110],"might":[111],"have":[112,165],"been":[113],"helpful":[114],"include":[118],"using":[119],"checklists":[120],"for":[121,134,143,174],"common":[122],"emergency":[123],"conditions":[124],"(such":[125],"as":[126,138,140],"altered":[127],"level":[128],"consciousness)":[130],"automated":[132],"paging":[133],"\"panic":[135],"laboratory":[136],"values,\"":[137],"well":[139],"instituting":[141],"protocols":[142],"administration.":[145],"Changing":[146],"system":[148],"administering":[150],"medications":[151],"by":[152,179,193],"bar":[153],"coding":[154],"drugs,":[155],"checks":[157],"medication,":[160],"patient,":[161],"provider,":[163],"could":[164],"prevented":[166],"accident.":[168],"Finally,":[169],"organizations":[170],"need":[171],"strive":[173],"\"culture":[176],"safety\"":[178],"providing":[180],"opportunities":[181],"discuss":[183],"constructive,":[189],"supportive":[190],"environments":[191],"resisting":[194],"pressure":[195],"find":[197],"scapegoat.":[199]},"counts_by_year":[{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":6},{"year":2013,"cited_by_count":6},{"year":2012,"cited_by_count":2}],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2016-06-24T00:00:00"}
