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psnet.ahrq.gov/issue/validating-patient-safety-indicators-veterans-health-administration-do-they-accurately
January 18, 2013 - November 2, 2011
Chronic kidney disease adversely influences patient safety.
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psnet.ahrq.gov/issue/multiple-component-patient-safety-intervention-english-hospitals-controlled-evaluation-second
February 23, 2011 - July 20, 2011
Chronic kidney disease adversely influences patient safety.
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psnet.ahrq.gov/issue/facility-delirium-programs-patient-safety-strategy-systematic-review
March 13, 2013 - November 2, 2011
Chronic kidney disease adversely influences patient safety.
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psnet.ahrq.gov/issue/adverse-events-during-hospitalization-results-patient-survey
December 29, 2014 - May 22, 2023
Chronic kidney disease adversely influences patient safety.
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psnet.ahrq.gov/issue/morbidity-and-mortality-conference-based-classification-system-adverse-events-surgical
January 28, 2009 - WebM&M Cases
Complications of Vascular Access Procedures in Patients with Kidney … Disease
November 27, 2019
Preventing patient harm via adverse event review
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psnet.ahrq.gov/issue/nursing-strategies-safeguard-covid-19-patients-harm-intensive-care-unit
July 31, 2013 - Commentary
Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit.
Citation Text:
Shiner D, Bock B, Simpson C, et al. Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. Crit Care Nurs Q. 2021;45(1):13-21. doi:10.1097/cn…
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psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
June 23, 2021 - Study
Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration.
Citation Text:
Walton E, Charles M, Morrish W, et al. Hemodialysis bleeding events and deaths: an 18-year retrospectiv…
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psnet.ahrq.gov/issue/patient-safety-dialysis-access
September 29, 2017 - Book/Report
Patient Safety in Dialysis Access.
Citation Text:
Patient Safety in Dialysis Access. Widmer MK, Malik J, eds. Contrib Nephrol. 2015;184:1-270. ISBN: 9783318027051.
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psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
January 01, 2022 - without waiting
for serum creatinine results when there is suspicion of an LVO, no
known history of kidney … disease, and the patient would otherwise
qualify for endovascular treatment … Take-Home Points (3)
38
• For patients with no known kidney disease and suspected LVO stroke,
CT angiography
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psnet.ahrq.gov/node/50614/psn-pdf
October 30, 2019 - This is extremely relevant for patients with chronic kidney
disease, where the use of a PICC has been … We also built in evidence for use of
PICCs in chronic kidney disease. … We want to encourage avoidance of PICC use in chronic kidney disease,
so our Epic orderset pulls in
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psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - man with a history of coronary artery disease, hypertension, cerebrovascular accidents, and chronic kidney … disease was transferred to a referral hospital for percutaneous coronary intervention after presenting … rather than jugular in adult patients [1B] Use fistula or graft in chronic kidney … disease instead of central venous catheter [1A] Use ultrasound to reduce
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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 … disease, atrial fibrillation, and type 2 diabetes mellitus presented to the emergency department (ED
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psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - This is extremely relevant for patients with chronic kidney disease, where the use of a PICC has been … We also built in evidence for use of PICCs in chronic kidney disease. … We want to encourage avoidance of PICC use in chronic kidney disease, so our Epic orderset pulls in GFR
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psnet.ahrq.gov/node/865778/psn-pdf
May 29, 2024 - Although this is the
preferred location for catheter placement, according to the Kidney Disease Outcomes
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psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
February 23, 2022 - Although this is the preferred location for catheter placement, according to the Kidney Disease Outcomes
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psnet.ahrq.gov/issue/impact-automated-alerts-discharge-opioid-overprescribing-after-general-surgery
September 29, 2017 - September 15, 2021
Chronic kidney disease adversely influences patient safety.
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psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
January 13, 2012 - WebM&M Cases
Complications of Vascular Access Procedures in Patients with Kidney … Disease
November 27, 2019
The Helsinki Declaration on Patient Safety in Anaesthesiology
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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
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psnet.ahrq.gov/issue/latest-heparin-fatality-speaks-loudly-what-have-you-done-stop-bleeding
May 03, 2023 - Newspaper/Magazine Article
Latest heparin fatality speaks loudly—what have you done to stop the bleeding?
Citation Text:
Latest heparin fatality speaks loudly—what have you done to stop the bleeding? ISMP Medication Safety Alert! Acute Care Edition. April 8, 2010;15:1-3.
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psnet.ahrq.gov/node/49745/psn-pdf
October 01, 2015 - Amphotericin Toxicity
October 1, 2015
Nagel J, Nguyen E. Amphotericin Toxicity. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/amphotericin-toxicity
The Case
A 42-year-old woman status-post left pneumonectomy for aspergilloma was being treated with oral
posaconazole for residual fungal disease. She present…