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Showing results for "kidney".
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  1. Surgical 'black box' could reduce errors. | PSNet

    psnet.ahrq.gov/issue/surgical-black-box-could-reduce-errors
    June 04, 2014 - March 20, 2013 UTMC nurse tossed out kidney, ruined it.

  2. The horror of awakening during surgery. | PSNet

    psnet.ahrq.gov/issue/horror-awakening-during-surgery
    October 21, 2010 - August 21, 2013 UTMC nurse tossed out kidney, ruined it.

  3. Doctors fear work caps for residents may be bad medicine. | PSNet

    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.

  4. What surgeons leave behind costs some patients dearly. | PSNet

    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.

  5. Doctors perform thousands of unnecessary surgeries. | PSNet

    psnet.ahrq.gov/issue/doctors-perform-thousands-unnecessary-surgeries
    March 20, 2013 - March 20, 2013 UTMC nurse tossed out kidney, ruined it.

  6. Paramedics turn to expired drugs due to shortages. | PSNet

    psnet.ahrq.gov/issue/paramedics-turn-expired-drugs-due-shortages
    September 05, 2012 - September 5, 2012 UTMC nurse tossed out kidney, ruined it.

  7. Joint Commission International Center for Patient Safety. | PSNet

    psnet.ahrq.gov/issue/joint-commission-international-center-patient-safety
    November 27, 2018 - August 9, 2006 Scathing report on Kaiser kidney program.

  8. Audibility of patient clinical alarms to hospital nursing personnel. | PSNet

    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

  9. Preventing medical errors: how to proceed with caution. | PSNet

    psnet.ahrq.gov/issue/preventing-medical-errors-how-proceed-caution
    January 24, 2024 - January 21, 2011 Scathing report on Kaiser kidney program.

  10. Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes. | PSNet

    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

  11. Operating room organization and surgical performance: a systematic review. | PSNet

    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

  12. Safe use of cellular telephones in hospitals: fundamental principles and case studies. | PSNet

    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.

  13. Nurses: Guilty verdict for dosing mistake could cost lives. | PSNet

    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

  14. Understanding care transitions as a patient safety issue. | PSNet

    psnet.ahrq.gov/issue/understanding-care-transitions-patient-safety-issue
    August 22, 2007 - January 10, 2007 Scathing report on Kaiser kidney program.

  15. When doctors get the wrong patient. | PSNet

    psnet.ahrq.gov/issue/when-doctors-get-wrong-patient
    December 14, 2016 - July 10, 2013 UTMC nurse tossed out kidney, ruined it.

  16. Organ donor's surgery death sparks questions. | PSNet

    psnet.ahrq.gov/issue/organ-donors-surgery-death-sparks-questions
    April 06, 2016 - March 20, 2013 UTMC nurse tossed out kidney, ruined it.

  17. Disuse of system is cited in gaps in soldiers' care. | PSNet

    psnet.ahrq.gov/issue/disuse-system-cited-gaps-soldiers-care
    September 28, 2005 - February 16, 2011 UTMC nurse tossed out kidney, ruined it.

  18. Role of intraoperative cholangiography in avoiding bile duct injury. | PSNet

    psnet.ahrq.gov/issue/role-intraoperative-cholangiography-avoiding-bile-duct-injury
    December 13, 2023 - October 31, 2012 UTMC nurse tossed out kidney, ruined it.

  19. Combined SNA and LDA methods to understand adverse medical events | PSNet

    psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understand-adverse-medical-events
    November 15, 2023 - WebM&M Cases Complications of Vascular Access Procedures in Patients with Kidney

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49778/psn-pdf
    December 01, 2016 - The consulting nephrologist felt that amphotericin toxicity was the most likely cause of the acute kidney … Although she was not dialysis-dependent when discharged from the hospital, her kidney function never … system (CDSS) can improve antimicrobial selection and dosing and can reduce adverse events, including kidney
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