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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
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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
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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
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psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
July 23, 2024 - single 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 patients … Am J Kidney Dis. 2016;67(5):724-727. doi:10.1053/j.ajkd.2016.01.013 Ehrhardt BS, Givens KEA, Lee RC … 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, Frost
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psnet.ahrq.gov/node/846759/psn-pdf
March 29, 2023 - https://psnet.ahrq.gov/primer/never-events
https://psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
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psnet.ahrq.gov/node/50696/psn-pdf
November 27, 2019 - Complications of Vascular Access Procedures in Patients
with Kidney Disease
November 27, 2019
Young … Complications of Vascular Access Procedures in Patients with Kidney Disease. … https://psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
The Cases … an oral airway was
https://psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
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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
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psnet.ahrq.gov/web-mm/hemolysis-holdup
July 03, 2016 - A 72-year-old man with congestive heart failure due to nonischemic cardiomyopathy, stage 3 chronic kidney … The ED physician ordered a chemistry panel, which came back as showing evidence of acute kidney injury … felt that the patient should be admitted to the hospital for further workup and treatment of his acute kidney
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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
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psnet.ahrq.gov/node/867750/psn-pdf
March 12, 2025 - psnet.ahrq.gov/issue/prolonged-diagnostic-intervals-marker-missed-diagnostic-opportunities-bladder-and-kidney
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psnet.ahrq.gov/node/35008/psn-pdf
July 10, 2008 - patients
This study reviewed data on 11,687 patients to explore the relationship between suboptimal kidney
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psnet.ahrq.gov/node/35644/psn-pdf
January 18, 2006 - Am J Kidney Dis. 2005;46(5):820-829.
doi:10.1053/j.ajkd.2005.07.039.
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psnet.ahrq.gov/node/852457/psn-pdf
August 16, 2023 - other hospital-acquired complications,
including thrombolytic and/or bleeding complications, acute kidney
-
psnet.ahrq.gov/node/72649/psn-pdf
January 20, 2021 - wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
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psnet.ahrq.gov/web-mm/transition-nowhere
March 21, 2009 - with a history of prostate cancer, poorly controlled myotonic dystrophy, hypertension, and chronic kidney … disease was admitted to the hospital with anuric acute kidney injury in the setting of angiotensin receptor … 2016
WebM&M Cases
Two Wrongs Don't Make a Right (Kidney
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psnet.ahrq.gov/node/49793/psn-pdf
May 01, 2017 - A 72-year-old man with congestive heart failure due to nonischemic cardiomyopathy, stage 3 chronic
kidney … The ED physician ordered a chemistry panel, which came back as
showing evidence of acute kidney injury … that the
patient should be admitted to the hospital for further workup and treatment of his acute kidney
-
psnet.ahrq.gov/node/37878/psn-pdf
February 03, 2011 - equipment interfered with critical care monitoring
equipment, causing serious problems such as stoppage of kidney
-
psnet.ahrq.gov/node/43867/psn-pdf
March 11, 2015 - wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
-
psnet.ahrq.gov/web-mm/dangerous-dialysis
June 12, 2024 - US Renal Data System, USRDS 2009 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal … National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases: Bethesda … Am J Kidney Dis. 2000;36:991-999. [go to PubMed]
11. … March 15, 2023
WebM&M Cases
Delayed Diagnosis of Kidney
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psnet.ahrq.gov/node/845361/psn-pdf
March 29, 2023 - incidence-patterns-and-prevention-wrong-site-surgery
https://psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney