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81. Diagnosing a Missed Diagnosis | PSNet
    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.

82. Spotlight Case July 2008 (ppt file)
    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.

83. Concealed renal insufficiency and adverse drug reactions in elderly hospitalized patients. | PSNet
    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

84. 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

85. 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.

86. Psn-Pdf (pdf file)
    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.

87. Psn-Pdf (pdf file)
    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

88. Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency | PSNet
    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

89. Drug shortages: Obama tries to prevent emergencies. | PSNet
    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

90. Psn-Pdf (pdf file)
    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

91. Recurrent Hypoglycemia: A Care Transition Failure? | PSNet
    psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
    December 23, 2020 - Case & Commentary: Part 1 A 70-year-old man with type II diabetes and chronic kidney disease was admitted … sulfonylurea (a common type of antidiabetic drug) despite the patient's relatively advanced chronic kidney … patient's primary care physician regarding the use of oral hypoglycemics in the presence of chronic kidney … the physician might well have modified the patient's care plan, particularly in light of his chronic kidney

92. Frederick mother's burning inspires daughter's activism. | PSNet
    psnet.ahrq.gov/issue/frederick-mothers-burning-inspires-daughters-activism
    June 24, 2020 - August 21, 2013 UTMC nurse tossed out kidney, ruined it.

93. Psn-Pdf (pdf file)
    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

94. Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment.  | PSNet
    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

95. Assessing the excess costs of the in-hospital adverse events covered by the AHRQ's Patient Safety Indicators in Switzerland. | PSNet
    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

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49570/psn-pdf
    October 01, 2008 - Case & Commentary: Part 1 A 70-year-old man with type II diabetes and chronic kidney disease was admitted … sulfonylurea (a common type of antidiabetic drug) despite the patient's relatively advanced chronic kidney … patient's primary care physician regarding the use of oral hypoglycemics in the presence of chronic kidney … the physician might well have modified the patient's care plan, particularly in light of his chronic kidney

97. Third wrong-sided brain surgery at R.I. hospital. | PSNet
    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

98. Effects of computerized decision support system implementations on patient outcomes in inpatient care: a systematic review. | PSNet
    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

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74830/psn-pdf
    June 01, 2022 - 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 … Am J Kidney Dis. 2016;67(5):724-727. doi:10.1053/j.ajkd.2016.01.013   Ehrhardt BS, Givens KEA, Lee … 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,

100. Latest heparin fatality speaks loudly—what have you done to stop the bleeding? | PSNet
     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