Results

Total Results: 162 records

Showing results for "end stage renal".

121. Undetected Foreign Object | PSNet
     psnet.ahrq.gov/web-mm/undetected-foreign-object
     April 24, 2018 - The Case A 75-year-old man with a past medical history of end-stage renal disease (on hemodialysis) … The reader then acts as a ledger so that at the end of the case all sponges scanned in have to be scanned

122. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
     January 01, 2021 - alcoholism, human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS), chronic renal … – Stage III includes the development of sensory abnormalities, motor weakness, and bowel or bladder … – Stage IV is defined by paralysis. … – Advanced neurologic deficits may include paraparesis and quadriparesis, but these are late-stage … – When abnormalities are present, they are non-specific, most commonly bony end-plate erosion, degenerative

123. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49665/psn-pdf
     September 01, 2012 - psnet.ahrq.gov/web-mm/undetected-foreign-object The Case A 75-year-old man with a past medical history of end-stage … renal disease (on hemodialysis), hypertension, and diabetes was found to have obstructive, multi-vessel … The reader then acts as a ledger so that at the end of the case all sponges scanned in have to be scanned

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49829/psn-pdf
     May 01, 2018 - //psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong The Case A 42-year-old man with history of end-stage … renal disease on hemodialysis was awaiting a kidney transplant. … introduced, health care organizations need to monitor implementation and effectiveness.(4) To this end

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49388/psn-pdf
     February 01, 2003 - However, despite a rise in the end-tidal CO2 to 70mm Hg, spontaneous respirations did not return. … occurs more often in hyperventilated patients; neonates; elderly patients; patients with compromised renal … and therefore more likely to experience adverse events.(9) Documenting errors at the administration stage … syringe or drug ampoule swap (7%).(12) Leape and colleagues found that 40 of 334 errors (12%) at the stage … Medication errors at the administration stage in an intensive care unit.

126. Isolated Clot, Real Error | PSNet
     psnet.ahrq.gov/web-mm/isolated-clot-real-error
     December 01, 2013 - Because she was trying to sign out at the end of the day, she did not read the entire report. … A recent study found that 43% of patients whose renal function merited dose reduction were prescribed … common in elderly patients.( 8 ) DOAC dosing should follow recommended guidelines and take into account renal … cancers during follow-up, shorten the time to cancer diagnosis, increase the detection of occult or early-stage … Non-vitamin K antagonist oral anticoagulant dosing in patients with atrial fibrillation and renal dysfunction

127. Wrong Route for Nutrients | PSNet
     psnet.ahrq.gov/web-mm/wrong-route-nutrients
     September 04, 2010 - WebM&M Cases Overdose of Gabapentin and Oxycodone in a Patient with End-Stage … Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts.

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836885/psn-pdf
     May 16, 2022 - Case #2: A 74-year-old man with a history of hypertensive end-stage renal disease and significant cardiac … disease, including current antibiotic treatment for bacterial endocarditis, was seen in the outpatient renal

129. The Case of Mistaken Intubation | PSNet
     psnet.ahrq.gov/web-mm/case-mistaken-intubation
     July 01, 2016 - The Case A 65-year-old man with a history of end stage renal disease, injection drug use, and multiple … Patients often end up admitted to multiple different hospitals, especially in large urban areas. … steps had been in place, the patient would likely have avoided the unfortunate adverse event at the end

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73902/psn-pdf
     September 29, 2021 - alcoholism, human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS), chronic renal … Stage II progresses to include stabbing or shooting radicular pain, nuchal rigidity/neck stiffness, and … all symptoms may be present at each stage. … When abnormalities are present, they are non-specific, most commonly bony end-plate erosion, degenerative … It relies on the presence of neurologic deficit, which is a late- stage finding in cases of SEA and

131. Unexplained Apnea Under Anesthesia | PSNet
     psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
     December 01, 2005 - However, despite a rise in the end-tidal CO2 to 70mm Hg, spontaneous respirations did not return. … occurs more often in hyperventilated patients; neonates; elderly patients; patients with compromised renal … therefore more likely to experience adverse events.( 9 ) Documenting errors at the administration stage … syringe or drug ampoule swap (7%).( 12 ) Leape and colleagues found that 40 of 334 errors (12%) at the stage … Medication errors at the administration stage in an intensive care unit.

132. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome | PSNet
     psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
     April 27, 2022 - alcoholism, human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS), chronic renal … Stage II progresses to include stabbing or shooting radicular pain, nuchal rigidity/neck stiffness, and … Stage IV is defined by paralysis. 19 SEA does not universally progress in this manner, however, and … not all symptoms may be present at each stage. … When abnormalities are present, they are non-specific, most commonly bony end-plate erosion, degenerative

133. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72911/psn-pdf
     March 15, 2021 - Medication errors are most common at the ordering or prescribing stage. … Decreased hepatic blood flow and hepatic function reduces medication metabolism, and reduced renal function … , transitioning between parenteral and oral medications, and the utilization of outdated weight or renal … Stage 1 1: 1–3. http://www.cms.gov/Regulations-and- Guidance/Legislation/EHRIncentivePrograms/downloads

134. Communication Error in a Closed ICU | PSNet
     psnet.ahrq.gov/web-mm/communication-error-closed-icu
     July 01, 2016 - The Case A 70-year-old man with a complex medical history including end-stage renal disease (status … Surgeons, intensivists, and the covenant of care: administrative models and values affecting care at the end

135. Management of Cardiac Arrest in Unconventional Locations. | PSNet
     psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
     June 14, 2023 - Case #2: A 74-year-old man with a history of hypertensive end-stage renal disease and significant cardiac … disease, including current antibiotic treatment for bacterial endocarditis, was seen in the outpatient renal

136. The Forgotten Med | PSNet
     psnet.ahrq.gov/web-mm/forgotten-med
     July 01, 2006 - WebM&M Cases Overdose of Gabapentin and Oxycodone in a Patient with End-Stage … Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts.

137. The Impact of Communication on Medication Errors | PSNet
     psnet.ahrq.gov/web-mm/impact-communication-medication-errors
     August 01, 2009 - Medication errors are most common at the ordering or prescribing stage. … Decreased hepatic blood flow and hepatic function reduces medication metabolism, and reduced renal function … monitoring, transitioning between parenteral and oral medications, and the utilization of outdated weight or renal … Stage 1 1: 1–3.

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848110/psn-pdf
     April 26, 2023 - Case 2: A 78-year-old woman with a history of obesity, diabetes mellitus, anemia, anxiety, end-stage … https://psnet.ahrq.gov//#4 https://psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate

139. 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 - products warn prescribers of problems related to total drug dose, duplicate therapy, patient weight, renal … To improve the end product, it may be worth adhering to the model that drives development of other new … target goals, and subsequently expanded our study to include several dozen medications affected by renal … of the offerings than at the less expensive end. … Impact of health information technology on detection of potential adverse drug events at the ordering stage

140. Which Line: Ordering Provider or Proceduralist? | PSNet
     psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
     September 16, 2015 - In manufacturing, this step happens at the end of the assembly line, with rejection of defective products … focused on the technical aspects of the procedure and may not incorporate information from the clinical end-user … WebM&M Cases Overdose of Gabapentin and Oxycodone in a Patient with End-Stage … Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts.