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psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
March 10, 2021 - for instance, it becomes really authentic when you bring patients in for the development and design stage … It looks different in end-stage renal disease programs, in primary care, it looks different in the hospital
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psnet.ahrq.gov/node/49525/psn-pdf
December 01, 2006 - Case & Commentary: Part 1
A patient with a history of end-stage renal disease requiring hemodialysis … •
Patients with renal
insufficiency: initial
bolus = 0.2 mg/kg.
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psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - WebM&M Cases
Overdose of Gabapentin and Oxycodone in a Patient with End-Stage … Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts.
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psnet.ahrq.gov/node/49522/psn-pdf
November 01, 2006 - The Case
A 55-year-old woman with end stage renal disease requiring hemodialysis and coronary artery … Hour Prior to Surgical Incision
Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End
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psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
October 28, 2020 - In the end, clinicians realized that the patient had initially been misdiagnosed with sepsis and that … organ dysfunction, such as hypotension, elevated lactate, respiratory failure, altered mental status, renal … the patient described had laboratory evidence of inflammation (elevated white blood cell count) and end-organ … When patients present with circulatory shock or signs of end-organ dysfunction, empiric antibiotics are
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psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
March 10, 2021 - for instance, it becomes really authentic when you bring patients in for the development and design stage … It looks different in end-stage renal disease programs, in primary care, it looks different in the hospital
-
psnet.ahrq.gov/node/49843/psn-pdf
October 01, 2018 - In the end, clinicians realized that the patient had initially been misdiagnosed with sepsis and that … organ dysfunction, such as hypotension,
elevated lactate, respiratory failure, altered mental status, renal … the patient described had laboratory evidence of
inflammation (elevated white blood cell count) and end-organ … When patients present with circulatory shock or signs of end-organ dysfunction, empiric antibiotics
-
psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
December 01, 2012 - tried to get them to share what they were using with me because I really viewed that as a means to an end … delirium, some of them say things like delirium following alcohol withdrawal, or delirium following renal … They're a little hyponatremic, going into renal failure, and on medications that maybe the doctor has … brain function [ 5 ]), it is worth thinking about delirium as an "acute brain injury" similar to other end-organ … As with these other important end-organ injuries, delirium is a clinical event for which prevention and
-
psnet.ahrq.gov/node/867656/psn-pdf
February 26, 2025 - The spread and scale part is very much
in its novice stage. … You would have to design a study where the systems were all at the same stage (e.g., what
you would … organization were afraid that if they pushed a weight-
based fluid bolus for morbidly obese patients who had renal … As we transfer care from hospital-based to ambulatory to home-
based, the people who end up in the hospital … Sarah Mossburg: I know we are coming to the end of our time.
-
psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
October 01, 2008 - develop systems to push the check box in front of the providers and make it very hard to move to the next stage … When I was an intern, if I was really tired and had a nasty attitude at the end of being up 36 hours … These are unforeseen consequences that pop out the back end. … the timing of myocardial infarct, stroke, and pulmonary embolism (kappa>0.8) than on the timing of renal … Quality Forum list of serious adverse events, we report "unstageable" pressure ulcers in addition to stage
-
psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - Commentary—Part 1
A 51-year-old man with history of congestive heart failure (ejection fraction 35%–40%), end-stage … renal disease on hemodialysis, and mechanical mitral valve replacement (on warfarin) presented with
-
psnet.ahrq.gov/node/49834/psn-pdf
July 01, 2018 - Commentary—Part 1
A 51-year-old man with history of congestive heart failure (ejection fraction 35%–40%), end-stage … renal
disease on hemodialysis, and mechanical mitral valve replacement (on warfarin) presented with
-
psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - the timing of myocardial infarct, stroke, and pulmonary embolism (kappa>0.8) than on the timing of renal … Quality Forum list of serious adverse events, we report "unstageable" pressure ulcers in addition to stage … develop systems to push the check box in front of the providers and make it very hard to move to the next stage … When I was an intern, if I was really tired and had a nasty attitude at the end of being up 36 hours … These are unforeseen consequences that pop out the back end.
-
psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - demonstrated success in reducing the unneeded intervention: fewer serum creatinine tests ordered in those with end … stage renal disease, fewer portable chest radiographs ordered in the intensive care unit, and fewer
-
psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
December 01, 2012 - brain function [ 5 ]), it is worth thinking about delirium as an "acute brain injury" similar to other end-organ … As with these other important end-organ injuries, delirium is a clinical event for which prevention and … tried to get them to share what they were using with me because I really viewed that as a means to an end … delirium, some of them say things like delirium following alcohol withdrawal, or delirium following renal … They're a little hyponatremic, going into renal failure, and on medications that maybe the doctor has
-
psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - WebM&M Cases
Overdose of Gabapentin and Oxycodone in a Patient with End-Stage … Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts.
-
psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - https://psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
The Case
A 54-year-old woman with end-stage … Auxiliary (example: heater on in ECMO and renal replacement therapy)
4.
-
psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - The spread and scale part is very much in its novice stage. … You would have to design a study where the systems were all at the same stage (e.g., what you would call … organization were afraid that if they pushed a weight-based fluid bolus for morbidly obese patients who had renal … As we transfer care from hospital-based to ambulatory to home-based, the people who end up in the hospital … Sarah Mossburg: I know we are coming to the end of our time.
-
psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - The spread and scale part is very much in its novice stage. … You would have to design a study where the systems were all at the same stage (e.g., what you would call … organization were afraid that if they pushed a weight-based fluid bolus for morbidly obese patients who had renal … As we transfer care from hospital-based to ambulatory to home-based, the people who end up in the hospital … Sarah Mossburg: I know we are coming to the end of our time.
-
psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
January 27, 2021 - The Case
A 54-year-old woman with end-stage chronic obstructive pulmonary disease (COPD) was admitted … Auxiliary (example: heater on in ECMO and renal replacement therapy)
4.