AHRQ Patient Safety Network

The Collection > Nephrology

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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 (15)

•Medical Complications (4)

•Nonsurgical Procedural Complications (5)

•Surgical Complications (1)

Origin/Sponsor

•Europe (2)

•North America (22)

Resource Types

•Journal Article (20)

•Newspaper/Magazine Article (4)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (6)

•Active Errors (10)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (5)

•Legal and Policy Approaches (2)

•Error Reporting and Analysis (7)

•Communication Improvement (4)

•Human Factors Engineering (4)

•Specialization of Care (3)

•Logistical Approaches (1)

•Culture of Safety (2)

•Technologic Approaches (7)

•Education and Training (5)

Clinical Areas
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Nephrology

Target Audience

•Health Care Providers (20)

•Health Care Executives and Administrators (18)

•Non-Health Care Professionals (7)

•Patients (2)

Setting of Care

•Hospitals (11)

•Residential Facilities (1)

•Ambulatory Care (6)

1 - 20 of 25

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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.

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.

COMMENTARY

Ordering of continuous renal replacement therapy in a computerized provider order entry system.

Oh SS, Sinclair-Pingel J, Feldott CC, Hargrove FR. Hosp Pharm. 2007;42:255–257.

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.

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.

MULTI-USE WEBSITE

Keeping Kidney Patients Safe.

Renal Physicians Association.

NEWSPAPER/MAGAZINE ARTICLE

FDA Advise-ERR: prevent dangerous drug-device interaction causing falsely elevated glucose levels.

ISMP Medication Safety Alert! Acute Care Edition. June 19, 2008;13:1-3.

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.

COMMENTARY

The Forgotten Drip

Josephson SA. AHRQ WebM&M [serial online]. January 2008.

COMMENTARY

Optimizing patient safety during hemodialysis.

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

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.

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.

NEWSPAPER/MAGAZINE ARTICLE

Medical mystery: alcoholism didn’t cause man’s diabetes and cirrhosis.

Boodman SG. Washington Post. June 13, 2011:E1.

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

Reducing preventable medication safety events by recognizing renal risk.

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

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

Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention.

Tsai TT, Maddox TM, Roe MT, et al; National Cardiovascular Data Registry. JAMA. 2009;302:2458-2464.

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

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.

COMMENTARY

Patient safety in the dialysis facility.

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

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