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psnet.ahrq.gov/issue/maternity-ward-highland-under-fire-patients
December 12, 2018 - December 22, 2010
Scathing report on Kaiser kidney program.
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psnet.ahrq.gov/issue/fires-during-surgeries-bigger-risk-thought
August 24, 2016 - August 21, 2013
UTMC nurse tossed out kidney, ruined it.
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psnet.ahrq.gov/issue/technology-has-transformed-va
October 07, 2008 - January 10, 2007
Scathing report on Kaiser kidney program.
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psnet.ahrq.gov/issue/empowered-improve
November 10, 2011 - October 26, 2011
Chronic kidney disease adversely influences patient safety.
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psnet.ahrq.gov/issue/quality-value-and-patient-safety-orthopedic-surgery
April 21, 2021 - Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney
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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - Case & Commentary: Part 1 A 70-year-old man with type II diabetes and chronic kidney disease was admitted … sulfonylurea (a common type of antidiabetic drug) despite the patient's relatively advanced chronic kidney … patient's primary care physician regarding the use of oral hypoglycemics in the presence of chronic kidney … the physician might well have modified the patient's care plan, particularly in light of his chronic kidney
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psnet.ahrq.gov/node/49570/psn-pdf
October 01, 2008 - Case & Commentary: Part 1
A 70-year-old man with type II diabetes and chronic kidney disease was admitted … sulfonylurea (a common
type of antidiabetic drug) despite the patient's relatively advanced chronic kidney … patient's primary care physician regarding the use of oral hypoglycemics in the presence of
chronic kidney … the physician might well have modified the patient's care plan, particularly in light of his chronic kidney
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psnet.ahrq.gov/issue/surgical-black-box-could-reduce-errors
June 04, 2014 - March 20, 2013
UTMC nurse tossed out kidney, ruined it.
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psnet.ahrq.gov/issue/horror-awakening-during-surgery
October 21, 2010 - August 21, 2013
UTMC nurse tossed out kidney, ruined it.
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psnet.ahrq.gov/issue/what-surgeons-leave-behind-costs-some-patients-dearly
August 29, 2012 - July 10, 2013
UTMC nurse tossed out kidney, ruined it.
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psnet.ahrq.gov/issue/simple-surgery-harrowing-complications
November 07, 2012 - October 31, 2012
UTMC nurse tossed out kidney, ruined it.
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psnet.ahrq.gov/issue/doctors-perform-thousands-unnecessary-surgeries
March 20, 2013 - March 20, 2013
UTMC nurse tossed out kidney, ruined it.
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psnet.ahrq.gov/issue/joint-commission-international-center-patient-safety
November 27, 2018 - August 9, 2006
Scathing report on Kaiser kidney program.
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psnet.ahrq.gov/issue/paramedics-turn-expired-drugs-due-shortages
September 05, 2012 - September 5, 2012
UTMC nurse tossed out kidney, ruined it.
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psnet.ahrq.gov/issue/doctors-fear-work-caps-residents-may-be-bad-medicine
May 27, 2011 - February 16, 2011
UTMC nurse tossed out kidney, ruined it.
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psnet.ahrq.gov/issue/optimizing-patient-safety-during-hemodialysis
October 28, 2020 - Related Resources
WebM&M Cases
Delayed Diagnosis of Kidney
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psnet.ahrq.gov/issue/error-detection-and-recovery-dialysis-nursing
November 16, 2022 - Related Resources
WebM&M Cases
Delayed Diagnosis of Kidney
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psnet.ahrq.gov/issue/patient-safety-culture-nephrology-nurse-practice-settings-initial-findings
August 10, 2022 - Related Resources
Clinical characteristics and short-term outcomes of acute kidney
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psnet.ahrq.gov/issue/critical-incident-monitoring-anaesthesia
September 04, 2024 - Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney
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psnet.ahrq.gov/issue/unpacking-complexity-covid-19-fatalities-adverse-events-contributing-factors-single-center
January 25, 2023 - other hospital-acquired complications, including thrombolytic and/or bleeding complications, acute kidney