-
psnet.ahrq.gov/node/74830/psn-pdf
June 01, 2022 - lumens, length of placement greater than five
days, and avoidance of use in patients with chronic kidney … Peripherally inserted central catheters (PICCs) in CKD: PICC’ing the best access for
kidney disease … Am J Kidney Dis. 2016;67(5):724-727. doi:10.1053/j.ajkd.2016.01.013
Ehrhardt BS, Givens KEA, Lee … Inpatient venous access practices: PICC
culture and the kidney patient. … Am J Kidney Dis. 2012;60(4):510-513. doi:10.1053/j.ajkd.2012.07.003
Sou V, McManus C, Mifflin N,
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psnet.ahrq.gov/issue/preventing-medical-errors-how-proceed-caution
January 24, 2024 - January 21, 2011
Scathing report on Kaiser kidney program.
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psnet.ahrq.gov/issue/understanding-care-transitions-patient-safety-issue
August 22, 2007 - January 10, 2007
Scathing report on Kaiser kidney program.
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psnet.ahrq.gov/issue/disuse-system-cited-gaps-soldiers-care
September 28, 2005 - February 16, 2011
UTMC nurse tossed out kidney, ruined it.
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psnet.ahrq.gov/issue/when-doctors-get-wrong-patient
December 14, 2016 - July 10, 2013
UTMC nurse tossed out kidney, ruined it.
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psnet.ahrq.gov/issue/organ-donors-surgery-death-sparks-questions
April 06, 2016 - March 20, 2013
UTMC nurse tossed out kidney, ruined it.
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psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
November 15, 2023 - WebM&M Cases
Complications of Vascular Access Procedures in Patients with Kidney
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psnet.ahrq.gov/issue/safe-use-cellular-telephones-hospitals-fundamental-principles-and-case-studies
August 04, 2021 - January 10, 2007
Scathing report on Kaiser kidney program.
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psnet.ahrq.gov/issue/nurses-guilty-verdict-dosing-mistake-could-cost-lives
April 27, 2022 - May 5, 2021
A biased test kept thousands of Black people from getting a kidney transplant
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psnet.ahrq.gov/issue/operating-room-organization-and-surgical-performance-systematic-review
March 05, 2025 - June 21, 2023
WebM&M Cases
Delayed Diagnosis of Kidney
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psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - Low solute intake also causes low renal medullary concentration, leading to inability of the kidneys … Am J Kidney Dis. 2013;61(4):571-8.
Medication Safety Self-Assessment or High-Alert Medications. … the Same Author(s)
WebM&M Cases
Delayed Diagnosis of Kidney
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psnet.ahrq.gov/issue/prospective-study-multisite-spread-medication-safety-intervention-factors-common-hospitals
April 24, 2018 - Hospitals succeeding in reducing medication-related acute kidney injury were more likely to have additional
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psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - Initial laboratory tests, including kidney function, and a non-contrast cranial
computed tomography … routinely perform CT angiography during stroke alerts due to
concerns about causing contrast-related acute kidney … without waiting for serum creatinine results
when there is suspicion of an LVO, no known history of kidney … For patients with no known kidney disease and suspected LVO stroke, CT angiography and
perfusion imaging
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psnet.ahrq.gov/issue/role-intraoperative-cholangiography-avoiding-bile-duct-injury
December 13, 2023 - October 31, 2012
UTMC nurse tossed out kidney, ruined it.
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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - Initial laboratory tests, including kidney function, and a non-contrast cranial computed tomography ( … routinely perform CT angiography during stroke alerts due to concerns about causing contrast-related acute kidney … without waiting for serum creatinine results when there is suspicion of an LVO, no known history of kidney … For patients with no known kidney disease and suspected LVO stroke, CT angiography and perfusion imaging
-
psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
January 01, 2022 - • Initial laboratory tests, including kidney function, and a non-contrast
cranial computed tomography … perform CT
angiography during stroke alerts due to concerns about causing
contrast-related acute kidney … without waiting
for serum creatinine results when there is suspicion of an LVO, no
known history of kidney … Take-Home Points (3)
38
• For patients with no known kidney disease and suspected LVO stroke,
CT angiography
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psnet.ahrq.gov/issue/patient-safety-and-quality-initiatives-intensive-care-unit
February 25, 2009 - June 30, 2021
Clinical characteristics and short-term outcomes of acute kidney injury
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psnet.ahrq.gov/issue/feds-stop-public-disclosure-many-serious-hospital-errors
September 17, 2014 - August 21, 2013
UTMC nurse tossed out kidney, ruined it.
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psnet.ahrq.gov/issue/do-cell-phones-belong-operating-room
September 01, 2016 - August 21, 2013
UTMC nurse tossed out kidney, ruined it.
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psnet.ahrq.gov/issue/unstoppable-doctor-has-been-investigated-every-level-government-how-he-still-practicing
September 16, 2020 - WebM&M Cases
Complications of Vascular Access Procedures in Patients with Kidney