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41. Communication Error in a Closed ICU | PSNet
    psnet.ahrq.gov/web-mm/communication-error-closed-icu
    July 01, 2016 - Case A 70-year-old man with a complex medical history including end-stage renal disease (status post kidney … Due to worsening function of his transplanted kidney and anticipated need for restarting hemodialysis … However, the team failed to recognize that the patient's transplanted kidney was also on the right side … due to the risk of damaging the vein to which the transplanted kidney is anastomosed (surgically attached … Over the next few days, the patient's kidney function continued to worsen and hemodialysis was initiated

42. Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory. | PSNet
    psnet.ahrq.gov/issue/comparison-and-interpretation-urinalysis-performed-nephrologist-versus-hospital-based
    March 14, 2016 - Am J Kidney Dis. 2005;46(5):820-829. doi:10.1053/j.ajkd.2005.07.039. … Am J Kidney Dis . 2005; 46 (5) :820-829 . View more articles from the same authors. … Am J Kidney Dis. 2005;46(5):820-829. doi:10.1053/j.ajkd.2005.07.039.

43. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49794/psn-pdf
    May 01, 2017 - Case A 70-year-old man with a complex medical history including end-stage renal disease (status post kidney … Due to worsening function of his transplanted kidney and anticipated need for restarting hemodialysis … However, the team failed to recognize that the patient's transplanted kidney was also on the right side … serious mistake, as femoral catheter placement is contraindicated on the same side as a transplanted kidney … due to the risk of damaging the vein to which the transplanted kidney is anastomosed (surgically attached

44. Too Much, Too Fast | PSNet
    psnet.ahrq.gov/web-mm/too-much-too-fast
    June 14, 2019 - The kidney is primarily responsible for maintaining total body potassium, matching K+ excretion with … Impairment in renal function secondary to acute kidney injury or chronic kidney disease can decrease … Although clinicians typically use the serum creatinine level to estimate kidney function, there is a … Disease] equation, based on gender, race, age, and serum creatinine, is a more accurate estimation of kidney

45. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49718/psn-pdf
    January 01, 2015 - https://psnet.ahrq.gov/web-mm/too-much-too-fast The kidney is primarily responsible for maintaining … Impairment in renal function secondary to acute kidney injury or chronic kidney disease can decrease … Although clinicians typically use the serum creatinine level to estimate kidney function, there is a … Disease] equation, based on gender, race, age, and serum creatinine, is a more accurate estimation of kidney

46. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73145/psn-pdf
    April 28, 2021 - At UCD, we have a robust kidney care program, and I’ve been working with at-home patients for about … The Advancing American Kidney Health Initiative that was implemented by executive order in July of 2019 … to be exposed to ultra-clean fluid that then relies on the diffusion of toxins from the patient, as kidney … JAM:  Kidney disease isn't going away, and I think when we are looking at treatment options, we have … Am J Kidney Dis. 2014;63(2):251–258.

47. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement | PSNet
    psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
    February 23, 2022 - The patient’s laboratory results were notable for acute kidney injury and metabolic acidosis, with an … This patient arrived at the hospital with pulmonary edema and kidney failure; the on-call nephrologist … Although this is the preferred location for catheter placement, according to the Kidney Disease Outcomes … Am J Kidney Dis . 2020;75(4 suppl 2):s1-s164. [ Free full text ] Ortega R, Song M, Hansen CJ, et al. … Am J Kidney Dis . 2011;58(6):964-970. [ Available at ] Smit JM, Haaksma ME, Lim EHT, et al.

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865778/psn-pdf
    May 29, 2024 - The patient’s laboratory results were notable for acute kidney injury and metabolic acidosis, with an … This patient arrived at the hospital with pulmonary edema and kidney failure; the on-call nephrologist … Although this is the preferred location for catheter placement, according to the Kidney Disease Outcomes … Am J Kidney Dis. 2020;75(4 suppl 2):s1-s164. [Free full text] 2. … Am J Kidney Dis. 2011;58(6):964-970. [Available at] 6. Smit JM, Haaksma ME, Lim EHT, et al.

49. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49748/psn-pdf
    December 01, 2015 - Look for impairment of kidney function and electrolyte abnormalities. … It is critical to evaluate kidney function and electrolyte abnormalities in all patients presenting … This is because the risk of developing acute kidney injury and/or hepatorenal syndrome is highest in … Failure to recognize this important relationship between liver and kidney function can impact treatment … that overcomes the loop diuretic effect of furosemide; aldosterone acts on a different part of the kidney

50. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851071/psn-pdf
    June 28, 2023 - inside-preventable-deaths-happened-within-prominent-transplant-center https://psnet.ahrq.gov/issue/utmc-nurse-tossed-out-kidney-ruined-it-national-experts-say-error-rare

51. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60309/psn-pdf
    May 06, 2020 - This article discusses an emerging challenge for treating patients with COVID-19 who also experience kidney

52. Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic conditions during the pandemic. | PSNet
    psnet.ahrq.gov/issue/risk-delayed-or-missed-care-and-non-covid-19-outcomes-older-patients-chronic-conditions
    December 16, 2020 - June 29, 2022 Clinical characteristics and short-term outcomes of acute kidney injury … June 30, 2021 Clinical characteristics and short-term outcomes of acute kidney injury

53. Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. | PSNet
    psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
    June 23, 2021 - Related Resources A biased test kept thousands of Black people from getting a kidney … January 19, 2011 Errors in ABO labeling of deceased donor kidneys: case reports and approach

54. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865479/psn-pdf
    April 03, 2024 - psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia https://psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications

55. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/848086/psn-pdf
    April 26, 2023 - system-need-repair-addressing-organizational-failures-uss-organ-procurement-and https://psnet.ahrq.gov/issue/utmc-nurse-tossed-out-kidney-ruined-it-national-experts-say-error-rare

56. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47093/psn-pdf
    July 02, 2019 - blood glucose and blood transfusions and for preventing venous thromboembolism, pressure ulcers, acute kidney

57. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37746/psn-pdf
    May 14, 2008 - reducing-preventable-medication-safety-events-recognizing-renal-risk This study suggests that routine assessment of kidney

58. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/862131/psn-pdf
    February 07, 2024 - Hospitals succeeding in reducing medication-related acute kidney injury were more likely to have additional

59. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/862990/psn-pdf
    February 21, 2024 - was postoperative hemorrhage/hematoma (27.6%) and the highest cost by case was postoperative acute kidney

60. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43912/psn-pdf
    February 25, 2015 - https://psnet.ahrq.gov/issue/patient-safety-dialysis-access Patients with chronic kidney failure are