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Showing results for "kidney".
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61. Psn-Pdf (pdf file)
    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

62. Root Cause Analysis Gone Wrong | PSNet
    psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
    August 28, 2024 - The Case A 42-year-old man with history of end-stage renal disease on hemodialysis was awaiting a kidney … The surgery was uneventful, and the transplanted kidney was connected successfully. … However, the persistent bleeding and hypotension had irreversibly damaged the transplanted kidney. … The kidney was explanted, and the patient was transferred to the intensive care unit in critical condition

63. Psn-Pdf (pdf file)
    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

64. Psn-Pdf (pdf file)
    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.

65. Spotlight
    psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
    January 01, 2024 - recognized as having a hypertensive emergency with end-organ effects on her cardiopulmonary system and kidneys … present to the ED.1 12 12 Background (4) The presence of pulmonary edema with hypoxemia and acute kidney … ACE/ARB therapy was not immediately indicated for this patient given the uncertain condition of her kidneys … furosemide after crystalloids, but she may have benefited from doses higher than 40 mg due to her worsening kidney … such as nitroglycerin (given that nitroprusside is relatively contraindicated in the setting of acute kidney

66. Managing Ascites: Hazards of Fluid Removal | PSNet
    psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
    June 01, 2018 - Look for impairment of kidney function and electrolyte abnormalities. … It is critical to evaluate kidney function and electrolyte abnormalities in all patients presenting with … 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

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867750/psn-pdf
    March 12, 2025 - psnet.ahrq.gov/issue/prolonged-diagnostic-intervals-marker-missed-diagnostic-opportunities-bladder-and-kidney

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/852457/psn-pdf
    August 16, 2023 - other hospital-acquired complications, including thrombolytic and/or bleeding complications, acute kidney

69. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.185_slideshow.ppt
    October 01, 2008 - space * * Case: Recurrent Hypoglycemia A 70-year-old man with type II diabetes and chronic kidney … sulfonylurea (a common type of anti-diabetic drug) despite the patient's relatively advanced chronic kidney … decision support to primary MD regarding use of oral hypoglycemic medications in patients with chronic kidney

70. Psn-Pdf (pdf file)
    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

71. Psn-Pdf (pdf file)
    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

72. Psn-Pdf (pdf file)
    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

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866343/psn-pdf
    December 31, 2024 - recognized as having a hypertensive emergency with end-organ effects on her cardiopulmonary system and kidneys … apparent when patients first present to the ED.1 The presence of pulmonary edema with hypoxemia and acute kidney … ACE/ARB therapy was not immediately indicated for this patient given the uncertain condition of her kidneys … furosemide after crystalloids, but she may have benefited from doses higher than 40 mg due to her worsening kidney … such as nitroglycerin (given that nitroprusside is relatively contraindicated in the setting of acute kidney

74. Psn-Pdf (pdf file)
    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

75. Hemolysis Holdup | PSNet
    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

76. Psn-Pdf (pdf file)
    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

77. The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications | PSNet
    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

78. Psn-Pdf (pdf file)
    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

79. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/836844/psn-pdf
    April 07, 2022 - mobile health-based, pharmacist-led telehealth intervention (TRANSAFE Rx) on medication errors among kidney

80. Patient Safety in Dialysis Access. | PSNet
    psnet.ahrq.gov/issue/patient-safety-dialysis-access
    September 29, 2017 - Patients with chronic kidney failure are at high risk for adverse events from treatment errors.