Narrow Results Clear All
Approach to Improving Safety
- Error Reporting and Analysis 1
- Human Factors Engineering 1
-
Quality Improvement Strategies
- Practice Guidelines
Search results for "Practice Guidelines"
- Nephrology
- Practice Guidelines
Download Citation File:
- View: Basic | Expanded
- Sort: Best Match | Most Recent
Special or Theme Issue
Mistakes We Make in Dialysis.
Rodby RA, Perazella MA, eds. Semin Dial. 2016;29:253-328.
Insufficient application of new evidence to inform treatment decisions can hinder safe care delivery. Articles in this special issue explore common renal replacement management strategies that may need to be assessed and redesigned to improve the safety of patients receiving dialysis.
Cases & Commentaries
A Painful Dilemma
- Web M&M
Sara N. Davison, MD, MHSc; June 2012
A woman with end-stage renal disease, who often skipped dialysis sessions, was admitted to the hospital with fever and given intravenous opiates for pain. Because her permanent arteriovenous graft was clotted, she had been receiving dialysis via a temporary femoral catheter, increasing her risk for infection. Blood cultures grew yeast; the patient was diagnosed with fungal endocarditis, likely caused by injections of opiates through her catheter.
Cases & Commentaries
The Forgotten Drip
- Web M&M
S. Andrew Josephson, MD; April 2008
A man hospitalized for acute intracranial hemorrhage and cerebral edema was continued too long on an intravenous diuretic. He developed severe dehydration, hypernatremia, and renal failure.
Journal Article > 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.
The authors describe a six-step confirmation process for blood type labeling on donor kidneys and illustrate its use in three cases where the process caught a near miss.