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psnet.ahrq.gov/node/49728/psn-pdf
March 01, 2015 - https://psnet.ahrq.gov/web-mm/medication-mix-bad-worse
The Case
A 69-year-old man with chronic kidney … Troponin levels were negative, and his kidney function tests were
stable.
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psnet.ahrq.gov/node/49653/psn-pdf
May 01, 2012 - man with a history of coronary artery disease, hypertension, cerebrovascular accidents, and
chronic kidney … use subclavian site
rather than jugular in adult
patients [1B]
Use fistula or graft in
chronic kidney
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psnet.ahrq.gov/node/866261/psn-pdf
July 10, 2024 - The urine color turns dark brown when myoglobin is excreted by the kidneys. … intravenous sodium bicarbonate may be helpful to
reduce the chance of myoglobin precipitating in the kidney … and causing acute kidney failure.
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psnet.ahrq.gov/node/865376/psn-pdf
March 27, 2024 - Organ injury scaling 2018 update: spleen, liver,
and kidney. … American Association for the Surgery of Trauma Organ Injury
Scale I: spleen, liver, and kidney, validation
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psnet.ahrq.gov/sites/default/files/2020-01/final_spotlight_near_miss_transfusion_01082020_tocme.pdf
January 01, 2020 - paroxysmal atrial fibrillation, coronary artery
disease, congestive heart failure, stage I chronic kidney
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psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
November 08, 2013 - June 28, 2023
WebM&M Cases
Delayed Diagnosis of Kidney … WebM&M Cases
Complications of Vascular Access Procedures in Patients with Kidney
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psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - man with a history of coronary artery disease, hypertension, cerebrovascular accidents, and chronic kidney … rather than jugular in adult patients [1B] Use fistula or graft in chronic kidney
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psnet.ahrq.gov/node/33857/psn-pdf
July 01, 2012 - sophisticated, a patient who has a
bump in their creatinine or something and you want to image the kidneys … to see if they're obstructed so you
order an ultrasound of the kidneys, and the software would come … back and say these kidneys were imaged
on a pulmonary CT exam 2 weeks ago and were normal.
-
psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
October 28, 2020 - Laboratory test results revealed a mildly elevated white count, acute kidney injury, and elevated liver … inflammation (elevated white blood cell count) and end-organ dysfunction (elevated liver function tests, acute kidney
-
psnet.ahrq.gov/node/842919/psn-pdf
February 01, 2023 - and possibly miscommunication regarding the timing of prior insulin doses.1 Patients with chronic kidney … The
incidence of DKA in this population is less than in patients with preserved kidney function as insulin
-
psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
March 27, 2024 - sophisticated, a patient who has a bump in their creatinine or something and you want to image the kidneys … to see if they're obstructed so you order an ultrasound of the kidneys, and the software would come … back and say these kidneys were imaged on a pulmonary CT exam 2 weeks ago and were normal.
-
psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
January 29, 2021 - The urine color turns dark brown when myoglobin is excreted by the kidneys. … intravenous sodium bicarbonate may be helpful to reduce the chance of myoglobin precipitating in the kidney … and causing acute kidney failure.
-
psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - She presented with sepsis and acute kidney injury with a creatinine of 2.0 mg/dL (up from a baseline … Her creatinine improved but remained elevated at 1.6 mg/dL and the team felt the persistent acute kidney
-
psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - This is extremely relevant for patients with chronic kidney disease, where the use of a PICC has been … We also built in evidence for use of PICCs in chronic kidney disease. … We want to encourage avoidance of PICC use in chronic kidney disease, so our Epic orderset pulls in GFR
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psnet.ahrq.gov/node/33669/psn-pdf
May 01, 2018 - effort to design and
implement an alerting system to avoid medication errors in patients with acute kidney
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psnet.ahrq.gov/primer/pharmacists-role-medication-safety
March 14, 2018 - rights" in light of patient condition, medication list, age, weight, ethnicity, diet, allergies, and kidney
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psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
November 27, 2019 - Organ injury scaling 2018 update: spleen, liver, and kidney. … American Association for the Surgery of Trauma Organ Injury Scale I: spleen, liver, and kidney, validation
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - SPOTLIGHT CASE
Discharge Fumbles
Citation Text:
Forster AJ. Discharge Fumbles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - Ten days later, the patient presents to the emergency department with acute kidney injury and critically
-
psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - She presented with sepsis and acute kidney
injury with a creatinine of 2.0 mg/dL (up from a baseline … Her creatinine improved but remained elevated at 1.6 mg/dL and the team felt the persistent
acute kidney