-
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
-
psnet.ahrq.gov/node/40785/psn-pdf
May 04, 2012 - clinical appropriateness of alerts, and applied the framework to alerts designed for
patients with acute 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
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
October 01, 2010 - *
US Renal Data System, USRDS 2009 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage … National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases: Bethesda … Am J Kidney Dis. 2000;36:991-999.
-
psnet.ahrq.gov/node/47605/psn-pdf
January 17, 2019 - psnet.ahrq.gov/issue/performing-wrong-procedure
https://psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
-
psnet.ahrq.gov/issue/concealed-renal-insufficiency-and-adverse-drug-reactions-elderly-hospitalized-patients
March 27, 2024 - This study reviewed data on 11,687 patients to explore the relationship between suboptimal kidney function
-
psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
October 26, 2022 - occurring in approximately 40% of patients on chronic lithium.( 2 ) NDI represents the failure of the kidneys … malnutrition, and postobstructive nephropathy may also cause it.( 2,3 ) Up to 60% of lithium filtered by the kidney … Also, because lithium is cleared renally, dehydration from NDI can induce or exacerbate acute kidney … Am J Kidney Dis. 2005;45:626-637. [go to PubMed] 6. Graber ML, Wachter RM, Cassel CK.
-
psnet.ahrq.gov/issue/drug-shortages-obama-tries-prevent-emergencies
April 10, 2024 - Resources From the Same Author(s)
A biased test kept thousands of Black people from getting a kidney
-
psnet.ahrq.gov/issue/frederick-mothers-burning-inspires-daughters-activism
June 24, 2020 - August 21, 2013
UTMC nurse tossed out kidney, ruined it.
-
psnet.ahrq.gov/issue/third-wrong-sided-brain-surgery-ri-hospital
April 10, 2024 - Resources From the Same Author(s)
A biased test kept thousands of Black people from getting a kidney
-
psnet.ahrq.gov/node/49787/psn-pdf
March 01, 2017 - occurring in approximately 40% of patients on chronic
lithium.(2) NDI represents the failure of the kidneys … malnutrition, and postobstructive nephropathy may also
cause it.(2,3)
Up to 60% of lithium filtered by the kidney … Also, because lithium is cleared renally,
dehydration from NDI can induce or exacerbate acute kidney … Am J Kidney Dis. 2005;45:626-637. [go to PubMed]
6. Graber ML, Wachter RM, Cassel CK.
-
psnet.ahrq.gov/issue/latest-heparin-fatality-speaks-loudly-what-have-you-done-stop-bleeding
May 03, 2023 - Related Resources
A biased test kept thousands of Black people from getting a kidney
-
psnet.ahrq.gov/issue/operating-room-fire-hospital-burns-patient-prompts-changes
September 21, 2022 - March 20, 2013
UTMC nurse tossed out kidney, ruined it.
-
psnet.ahrq.gov/node/49829/psn-pdf
May 01, 2018 - 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
-
psnet.ahrq.gov/node/44180/psn-pdf
June 21, 2015 - medicares-decision-withhold-payment-hospital-errors-devil-details
https://psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
-
psnet.ahrq.gov/issue/assessing-excess-costs-hospital-adverse-events-covered-ahrqs-patient-safety-indicators
January 10, 2024 - was postoperative hemorrhage/hematoma (27.6%) and the highest cost by case was postoperative acute kidney
-
psnet.ahrq.gov/issue/electromagnetic-interference-radio-frequency-identification-inducing-potentially-hazardous
February 14, 2024 - equipment interfered with critical care monitoring equipment, causing serious problems such as stoppage of kidney
-
psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
May 01, 2018 - 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
-
psnet.ahrq.gov/issue/effects-computerized-decision-support-system-implementations-patient-outcomes-inpatient-care
November 06, 2019 - glucose and blood transfusions and for preventing venous thromboembolism , pressure ulcers , acute kidney
-
psnet.ahrq.gov/issue/reducing-preventable-medication-safety-events-recognizing-renal-risk
June 27, 2011 - This study suggests that routine assessment of kidney function can reduce the risk of medication-related