AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (2)

•Diagnostic Errors (2)

•Identification Errors (1)

•Discontinuities, Gaps, and Hand-Off Problems (3)

•Medication Safety (14)

•Medical Complications (5)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (1)

Origin/Sponsor

•North America (20)

Resource Types

•Journal Article (19)

•Newspaper/Magazine Article (4)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (5)

•Active Errors (9)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (4)

•Legal and Policy Approaches (2)

•Error Reporting and Analysis (7)

•Communication Improvement (4)

•Human Factors Engineering (3)

•Specialization of Care (2)

•Logistical Approaches (1)

•Culture of Safety (2)

•Technologic Approaches (7)

•Education and Training (4)

Clinical Areas
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Nephrology

Target Audience

•Health Care Providers (20)

•Health Care Executives and Administrators (17)

•Non-Health Care Professionals (7)

•Patients (2)

Setting of Care

•Hospitals (11)

•Residential Facilities (1)

•Ambulatory Care (6)

1 - 20 of 24

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STUDY

Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.

Terrell KM, Perkins AJ, Hui SL, Callahan CM, Dexter PR, Miller DK. Ann Emerg Med. 2010;56:623-629.

NEWSPAPER/MAGAZINE ARTICLE

Latest heparin fatality speaks loudly—what have you done to stop the bleeding?

ISMP Medication Safety Alert! April 8, 2010;15:1-3.

MULTI-USE WEBSITE

Keeping Kidney Patients Safe.

Renal Physicians Association.

COMMENTARY

XL or Smaller?

Kozer E. AHRQ WebM&M [serial online]. June 2003.

STUDY

A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit.

Galhotra S, Devita MA, Dew MA, Simmons RL. Qual Saf Health Care. 2010;19:e38.

NEWSPAPER/MAGAZINE ARTICLE

Scathing report on Kaiser kidney program. Transplant delays assailed -- Medicare threatens to end coverage.

Russell S. San Francisco Chronicle. June 24, 2006.

STUDY

Chronic kidney disease adversely influences patient safety.

Seliger SL, Zhan M, Hsu VD, Walker LD, Fink JC. J Am Soc Nephrol. 2008;19:2414-2419.

STUDY

Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory.

Tsai JJ, Yeun JY, Kumar VA, Don BR. Am J Kidney Dis. 2005;46:820-829.

STUDY

Effect of alerts for drug dosage adjustment in inpatients with renal insufficiency.

Sellier E, Colombet I, Sabatier B, et al. J Am Med Inform Assoc. 2009;16:203-210.

COMMENTARY

Optimizing patient safety during hemodialysis.

Himmelfarb J. JAMA. 2011;306:1707-1708.

STUDY

A framework for evaluating the appropriateness of clinical decision support alerts and responses.

McCoy AB, Waitman LR, Lewis JB, et al. J Am Med Inform Assoc. 2012;19:346-352.

STUDY

Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study.

Reilly JB, Marcotte LM, Berns JS, Shea JA. Jt Comm J Qual Patient Saf. 2013;39:70-76.

COMMENTARY

Patient safety in the dialysis facility.

Kliger AS. Blood Purif. 2006;24:19-21.

STUDY

Reducing preventable medication safety events by recognizing renal risk.

Fields W, Tedeschi C, Foltz J, et al. Clin Nurse Spec. 2008;22:73-78.

STUDY

Medication errors and patient complications with continuous renal replacement therapy.

Barletta JF, Barletta GM, Brophy PD, Maxvold NJ, Hackbarth RM, Bunchman TE. Pediatr Nephrol. 2006;21:842-845.

STUDY

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

Corsonello A, Pedone C, Corica F, Mussi C, Carbonin P, Antonelli Incalzi R, for the Gruppo Italiano di Farmacovigilanza nell'Anziano (GIFA) Investigators. Arch Intern Med. 2005;165:790-795.

STUDY

Errors in ABO labeling of deceased donor kidneys: case reports and approach to ensuring patient safety.

Friedman AL, Lee KC, Lee GD. Am J Transplant. 2007;7:480-483.

STUDY

Medication dosing errors for patients with renal insufficiency in ambulatory care.

Yap C, Dunham D, Thompson J, Baker D. Jt Comm J Qual Patient Saf. 2005;31:514-521.

STUDY

The use of pharmaceuticals for dialysis patients. How well do we know our patients' allergies?

Bhandari S, Armitage J, Chintu M, Chinnappa S, Kendrew P. J Ren Care. 2008;34:213-217.

STUDY

Computerized clinical decision support during medication ordering for long-term care residents with renal insufficiency.

Field TS, Rochon P, Lee M, Gavendo L, Baril JL, Gurwitz JH. J Am Med Inform Assoc. 2009;16:480-485.

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