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Total Results: 168 records

Showing results for "end stage renal".

141. 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and reduced renal function … monitoring, transitioning between parenteral and oral medications, and the utilization of outdated weight or renal … Stage 1 1: 1–3.

142. 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

143. 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.

144. 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

145. Slow Down: Right Drug, Wrong Formulation | PSNet
     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.

146. In Conversation With... Libby Hoy and Stephen Hoy | PSNet
     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

147. Psn-Pdf (pdf file)
     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.

148. 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

149. 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.

150. Psn-Pdf (pdf file)
     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

151. Psn-Pdf (pdf file)
     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

152. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis | PSNet
     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

153. Meaningful Measurement in Patient and Family Engagement | PSNet
     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

154. In Conversation With… Sharon K. Inouye, MD, MPH | PSNet
     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

155. In Conversation with…Robert M. Wachter, MD | PSNet
     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

156. Psn-Pdf (pdf file)
     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.

157. "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety | PSNet
     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

158. Identifying Adverse Events Not Present on Admission: Can We Do It? | PSNet
     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.

159. Psn-Pdf (pdf file)
     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

160. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit | PSNet
     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