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psnet.ahrq.gov/issue/medication-safety-alert-fatigue-may-be-reduced-interaction-design-and-clinical-role-tailoring
December 31, 2014 - 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/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
November 01, 2006 - consequence of public reporting and interventions to prevent these
The Case
A 55-year-old woman with end … stage renal disease requiring hemodialysis and coronary artery disease (status post coronary artery … hour prior to surgical incision
• Prophylactic antibiotics discontinued within 24 hours after surgery end … into standard public reporting measure sets
The Case: Revisited
“A 55-year-old woman with end … stage renal disease requiring hemodialysis and coronary artery disease..”
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psnet.ahrq.gov/web-mm/perils-contrast-media
March 01, 2007 - Iodinated contrast media can cause kidney injury through direct cytotoxic effects on renal tissue.( 1 … disease, and cardiovascular disease, all of which predispose to renal impairment. … definitions for CIAKI.( 2 ) Some examples include the RIFLE criteria (Risk, Injury, Failure, Loss, End-stage … found that these definitions do not differ significantly in their ability to diagnose and stage AKI … genuinely at risk of CIAKI if they have an eGFR less than 45 mL/min/1.73 m2 (i.e., chronic kidney disease stage
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psnet.ahrq.gov/node/50696/psn-pdf
November 27, 2019 - Patient 1:
A 31-year-old woman with end stage renal disease (ESRD) and pulmonary hypertension presented … The
higher end of the normal range of doses of these medications was administered without appropriately … patients have an
increased risk for adverse effects due to underlying comorbid conditions such as renal … advanced age, complicated baseline respiratory status, and drug interactions.8 Given this patient’s poor
renal … vascular access
procedures but should be used cautiously in patients with comorbid conditions such as renal
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psnet.ahrq.gov/node/73146/psn-pdf
April 28, 2021 - When kidney damage becomes
severe enough, patients may be diagnosed with end-stage kidney disease (ESKD … training and
ongoing communication between the patient and the care team.7
Mitigating Safety Risks in End-Stage … Renal Disease (ESRD) Home Care
Regardless of the treatment modality, there are several key components … the Medical Director for Satellite Health Care and as a
member of the Medical Advisory Board for Nx Stage
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psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-0
May 26, 2010 - February 27, 2013
AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit. … September 3, 2016
AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit.
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psnet.ahrq.gov/node/846170/psn-pdf
March 15, 2023 - middle-aged man with a past medical history of heart failure with reduced ejection fraction
(HFrEF) and end-stage … renal disease (ESRD), on three-times weekly hemodialysis, was seen in an
outpatient cardiology clinic … he was already on hemodialysis, but otherwise there would have been an increased risk of worsened renal … they can assist other providers and specialists, for example, by making recommendations on
dosing for renal
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psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
March 24, 2021 - results showed a white blood cell count of 2.8 × 10 9 /L (normal range: 3.5–10.5 × 10 9 /L) and acute renal … seen by the internal medicine team mid-morning and diagnosed with rhabdomyolysis from trauma and acute renal … Patients presenting at an advanced stage may show signs of sepsis and systemic shock. … End-stage renal failure 4. Cirrhosis 5. … 1 (early) Stage 2 (intermediate) Stage 3 (late) Warm to palpation Erythema Tenderness
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psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
November 01, 2016 - Case & Commentary—Part 1
A 74-year-old woman with history of advanced dementia and end-stage renal … Patients dying with dementia: experience at the end of life and impact of hospice care. … What is appropriate health care for end-stage dementia? J Am Geriatr Soc. 1993;41:25-30. … End-of-life transitions among nursing home residents with cognitive issues. … Critical Access Hospitals and Dual Eligible Hospitals Attesting to CMS EHR Incentive Program Modified Stage
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psnet.ahrq.gov/node/49714/psn-pdf
August 21, 2014 - results
showed a white blood cell count of 2.8 × 109/L (normal range: 3.5–10.5 × 109/L) and acute renal … web-mm/pitfalls-diagnosing-necrotizing-fasciitis
diagnosed with rhabdomyolysis from trauma and acute renal … Patients presenting at an advanced stage may show
signs of sepsis and systemic shock. … End-stage renal failure
4. Cirrhosis
5. Pulmonary diseases
6. Malignancy
7. … Stage 2 (intermediate) Stage 3 (late)
Warm to palpation
Erythema
Tenderness to palpitation
(extending
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psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
August 05, 2022 - middle-aged man with a past medical history of heart failure with reduced ejection fraction (HFrEF) and end-stage … renal disease (ESRD), on three-times weekly hemodialysis, was seen in an outpatient cardiology clinic … that he was already on hemodialysis, but otherwise there would have been an increased risk of worsened renal … they can assist other providers and specialists, for example, by making recommendations on dosing for renal
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psnet.ahrq.gov/node/49813/psn-pdf
January 01, 2018 - Case & Commentary—Part 1
A 74-year-old woman with history of advanced dementia and end-stage renal disease … Patients dying with dementia:
experience at the end of life and impact of hospice care. … What is appropriate health care for end-stage dementia? J Am Geriatr Soc.
1993;41:25-30. … End-of-life transitions among nursing home residents with
cognitive issues. … Critical Access Hospitals and Dual Eligible Hospitals Attesting to CMS EHR Incentive
Program Modified Stage
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psnet.ahrq.gov/node/49387/psn-pdf
February 01, 2003 - For example, a patient with renal failure could receive the
https://psnet.ahrq.gov/web-mm/patient-mix … adverse drug events, the stages of serious medication errors were as
follows: 49% at the ordering stage … adhering to other
practices that help prevent medication errors, errors committed at the prescribing end … Medication errors at the
administration stage in an intensive care unit. … Table
How Wrong Patient Medication Errors Occur
Stage at Which
Error Is Introduced
Example Error
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psnet.ahrq.gov/node/49395/psn-pdf
April 01, 2003 - https://psnet.ahrq.gov/web-mm/medication-overdose
The Case
A 15-year-old boy with end-stage AIDS was … rates of ADEs, though rates of potential
ADEs were even higher.(5) Most potential ADEs occurred at the stage … relevant allergies or drug interactions or suggested dose changes based on recent
lab values (eg, “renal … Guided medication dosing for inpatients with renal
insufficiency.
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psnet.ahrq.gov/node/857258/psn-pdf
November 30, 2023 - of rocuronium for endotracheal intubation, and she was given intravenous sugammadex (200 mg) at
the end … deep
paralysis is requested for this type of procedure, additional sugammadex must be given at the end … Reduce the dose of rocuronium in patients with renal and hepatic impairment
https://psnet.ahrq.gov// … /#14
https://psnet.ahrq.gov//#7
https://psnet.ahrq.gov//#7
The amount of sugammadex needed at the end … Is it always necessary to reverse the neuromuscular blockade at the end of
surgery?
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psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
April 28, 2021 - Could you start out by describing your current role and summarize how you engage with ESRD [end-stage … renal disease] caregivers? … KH : That is a great place to end. … When kidney damage becomes severe enough, patients may be diagnosed with end-stage kidney disease (ESKD … training and ongoing communication between the patient and the care team. 7 Mitigating Safety Risks in End-Stage
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psnet.ahrq.gov/web-mm/patient-mix
December 01, 2007 - For example, a patient with renal failure could receive the aminoglycoside intended for another patient … and adverse drug events, the stages of serious medication errors were as follows: 49% at the ordering stage … adhering to other practices that help prevent medication errors, errors committed at the prescribing end … Documenting errors at the administration stage is difficult because it requires direct observation, which … Medication errors at the administration stage in an intensive care unit.
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psnet.ahrq.gov/node/49747/psn-pdf
December 01, 2015 - Case & Commentary Part 1
A 54-year-old man with hypertension, diabetes, and end-stage renal disease … developing a fatal arrhythmia due to his acute myocardial infarction and co-morbid
conditions (diabetes, end-stage … renal failure).
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psnet.ahrq.gov/node/49755/psn-pdf
February 01, 2016 - She had a past medical history of end-stage renal disease (on
hemodialysis 3 times/week), hypertension … Since many medications are excreted by the kidneys, patients with renal dysfunction are at even
higher
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psnet.ahrq.gov/web-mm/medication-overdose
September 01, 2011 - The Case
A 15-year-old boy with end-stage AIDS was admitted to the pediatric ICU with mental status … of ADEs, though rates of potential ADEs were even higher.( 5 ) Most potential ADEs occurred at the stage … relevant allergies or drug interactions or suggested dose changes based on recent lab values (eg, “renal … Guided medication dosing for inpatients with renal insufficiency.