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- Communication Improvement(13)
- Computerized Decision Support(7)
- Computerized Provider Order Entry (CPOE)(7)
- Culture of Safety(5)
- Education and Training(10)
- Error Reporting and Analysis(11)
- Human Factors Engineering(8)
- Legal and Policy Approaches(6)
- Logistical Approaches(3)
- Policies and Operations(1)
- Quality Improvement Strategies(11)
- Specialization of Care(5)
- Technologic Approaches(9)
- Alert fatigue(2)
- Device-Related Complications(4)
- Diagnostic Errors(3)
- Discontinuities, Gaps, and Hand-Off Problems(7)
- Identification Errors(1)
- Medical Complications(13)
- Medication Safety(24)
- Nonsurgical Procedural Complications(11)
- Psychological and Social Complications(1)
- Surgical Complications(6)
A 38-year-old man with end-stage renal disease (ESRD) on chronic hemodialysis was admitted for nonhealing, infected lower leg wounds and underwent a below-knee amputation. He suffered from postoperative pain at the operative stump and was treated for four days with regional nerve blocks, as well as gabapentin, intermittent intravenous hydromorphone (which was transitioned to oral oxycodone) and oral hydromorphone.
US Senate Finance Committee. 117th Cong (2021-2022). August 3, 2022.
Mobile health apps are becoming increasingly popular for patients and clinicians. This innovative study implemented a pharmacist-led mobile health based intervention to improve medication safety of patients following kidney transplant.
A 69-year-old man with End-Stage Kidney Disease (ESKD) secondary to diabetes mellitus and hypertension, who had been on dialysis since 2014, underwent deceased donor kidney transplant. The case demonstrates the complex nature of management of allograft dysfunction due to vascular complications in a patient with deceased donor kidney transplant in the early post-transplant period.
José A, Morfín, MD, FASN, is a health sciences clinical professor at the University of California Davis School of Medicine. In his professional role, he serves as the Medical Director for Satellite Health Care and as a member of the Medical Advisory Board for Nx Stage Medical. We discussed with him home dialysis and patient safety considerations.
This piece discusses how the program mitigates safety risks for in-home dialysis and the potential for in-home programs to greatly expand.
Centers for Medicare and Medicaid Services.
Mosley T. COVID-19 leads to increased need for dialysis machines. Here & Now. Boston Public Radio. April 27, 2020.
Centers for Disease Control and Prevention.
Rodby RA, Perazella MA, eds. Semin Dial. 2016;29(4):253-328.