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Showing results for "chronic kidney diseases".
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21. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet
    psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
    July 01, 2017 - fibrillation, coronary artery disease, congestive heart failure with an ejection fraction of 45%, stage I chronic … kidney disease and gout presented for a total hip replacement.

22. Patient Safety Events Involving Opioid Dose Stacking | PSNet
    psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
    July 08, 2022 - The patient had a past medical history of morbid obesity, hypertension, heart failure, chronic kidney … disease (stage 3), diabetes, peripheral artery disease, and ischemic cardiomyopathy.

23. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing | PSNet
    psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
    August 21, 2005 - 2.5 mg twice daily). 12,13  A meta-analysis has shown that use of apixaban in patients with stage 4 chronic … kidney disease appears to be associated with: no difference in the incidence of major bleeding compared

24. Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures | PSNet
    psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
    November 16, 2022 - The Case A 62-year-old man with type 2 diabetes mellitus, chronic kidney disease, and a history of

25. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists | PSNet
    psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
    February 26, 2025 - Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists Citation Text: Shi L, Noren E. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Se…

26. Spotlight (pdf file)
    psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
    January 01, 2020 - Details (1) • 69-year old man • Past medical history: cervical stenosis, coronary artery disease, chronic … kidney disease and hypertension • Worsening neck pain which prevented him from working, socializing

27. The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE | PSNet
    psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
    June 19, 2024 - November 28, 2012 Chronic kidney disease adversely influences patient safety.

28. A Fatal Twist in Pseudohyperkalemia | PSNet
    psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
    February 10, 2021 - renal function and any previous episodes of hyperkalemia, as chronic hyperkalemia in association with chronic … kidney disease may not require prompt treatment. 6 The combination of hyponatremia and hyperkalemia

29. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
    psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
    May 26, 2021 - The Case A 69-year-old man with a history of cervical stenosis, coronary artery disease, chronic … kidney disease, and hypertension developed worsening neck pain in the previous year, which prevented

30. Equity in Patient Safety | PSNet
    psnet.ahrq.gov/perspective/equity-patient-safety
    September 24, 2024 - Annual Perspective Equity in Patient Safety Angela D. Thomas, DrPH, MPH, MBA; Merton Lee, PhD, PharmD; Sarah Mossburg, RN, PhD | March 27, 2024  View more articles from the same authors. Citation Text: Thomas A, Lee M, Mossburg S. Equity in Patient Safety. …

31. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60328/psn-pdf
    May 27, 2020 - fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression A 69-year-old man with a history of cervical stenosis, coronary artery disease, chronic … kidney disease, and hypertension developed worsening neck pain in the previous year, which prevented

32. Good Night's Sleep Gone Wrong | PSNet
    psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
    September 01, 2015 - Good Night's Sleep Gone Wrong Citation Text: Gillis CM, Degrado J, Anger KE. Good Night's Sleep Gone Wrong. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML…

33. Spotlight
    psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
    January 01, 2025 - Spotlight Spotlight Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations  1 Source and Credits This presentation is based on the January 2025 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Samantha Brown…

34. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867672/psn-pdf
    February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations February 26, 2025 Brown S, Utter GH, Barnes DK. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations. PSNet [internet]. 2025. https://psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction…

35. What Happened on Telemetry? | PSNet
    psnet.ahrq.gov/web-mm/what-happened-telemetry
    January 18, 2012 - SPOTLIGHT CASE What Happened on Telemetry? Citation Text: Sandau KE, Funk M. What Happened on Telemetry?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNo…

36. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49801/psn-pdf
    August 01, 2017 - The Case A 72-year-old woman with a history of systolic heart failure, hypertension, and chronic kidney … disease who was healthy and active at baseline was admitted for an elective dilatation and curettage

37. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations | PSNet
    psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
    September 27, 2023 - SPOTLIGHT CASE Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations Citation Text: Brown S, Utter GH, Barnes DK. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…

38. Despite Clues, Failed to Rescue | PSNet
    psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
    August 02, 2015 - The Case A 72-year-old woman with a history of systolic heart failure, hypertension, and chronic kidney … disease who was healthy and active at baseline was admitted for an elective dilatation and curettage

39. Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? | PSNet
    psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
    May 01, 2008 - Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? Josh Peterson, MD, MPH | May 1, 2018  Also Read a Conversation View more articles from the same authors. Citation Text: Peterson JF. Integrating Multiple Medication Decision …

40. The Deadly Duo | PSNet
    psnet.ahrq.gov/web-mm/deadly-duo
    April 28, 2021 - The Deadly Duo Citation Text: Maldonado JR. The Deadly Duo. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …