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终末期肾病患者护理中的医疗安全。

Medical safety in the care of the person with end-stage kidney disease.

作者信息

Duronville John V, Diamantidis Clarissa J

机构信息

Division of Nephrology, Duke University School of Medicine, Durham, NC, USA.

Division of General Internal Medicine, Duke University School of Medicine, Durham, NC, USA.

出版信息

Semin Dial. 2018 Mar;31(2):140-148. doi: 10.1111/sdi.12672. Epub 2018 Jan 7.

DOI:10.1111/sdi.12672
PMID:29315834
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5839985/
Abstract

Much is written about medical safety as it pertains to patients with chronic kidney disease, yet the transition to end-stage kidney disease and processes inherent to the receipt of dialysis present unique safety challenges in this population. Educational efforts in medical safety need to focus on the areas of greatest threat and where intervention can provide the greatest benefit. This study addresses such safety topics in the dialysis population and identifies potential strategies that may aid in harm reduction.

摘要

关于慢性肾病患者的医疗安全已有诸多著述,然而,向终末期肾病的转变以及接受透析所固有的过程给这一人群带来了独特的安全挑战。医疗安全方面的教育工作需要聚焦于威胁最大的领域以及干预能够带来最大益处的地方。本研究探讨了透析人群中的此类安全话题,并确定了可能有助于减少伤害的潜在策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfea/5839985/86ac9089d7c4/nihms927948f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfea/5839985/86ac9089d7c4/nihms927948f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfea/5839985/86ac9089d7c4/nihms927948f1.jpg

相似文献

1
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本文引用的文献

1
Serious Fall Injuries Before and After Initiation of Hemodialysis Among Older ESRD Patients in the United States: A Retrospective Cohort Study.美国老年终末期肾病患者血液透析前后严重跌倒损伤的回顾性队列研究。
Am J Kidney Dis. 2017 Jul;70(1):76-83. doi: 10.1053/j.ajkd.2016.11.021. Epub 2017 Jan 27.
2
Dialysis Arteriovenous Fistula Failure and Angioplasty: Intimal Hyperplasia and Other Causes of Access Failure.透析动静脉内瘘衰竭与血管成形术:内膜增生及其他通路衰竭原因
Am J Kidney Dis. 2017 Jan;69(1):147-151. doi: 10.1053/j.ajkd.2016.08.025. Epub 2016 Oct 27.
3
Target-based Anemia Management with Erythropoiesis Stimulating Agents (Risks and Benefits Relearned) and Iron (Still More to Learn).
使用促红细胞生成素(重新认识风险与益处)和铁剂(仍有更多需了解)进行基于靶点的贫血管理
Semin Dial. 2017 Mar;30(2):142-148. doi: 10.1111/sdi.12569. Epub 2017 Jan 12.
4
Dialytic hemodynamics are associated with changes in gait speed.透析血流动力学与步速变化有关。
Hemodial Int. 2017 Oct;21(4):566-574. doi: 10.1111/hdi.12515. Epub 2016 Nov 22.
5
Management of Patient Care in Hemodialysis While Focusing on Cardiovascular Disease Events and the Atypical Role of Hyper- and/or Hypotension: A Systematic Review.血液透析患者护理管理:关注心血管疾病事件及高血压和/或低血压的非典型作用的系统评价
Biomed Res Int. 2016;2016:9710965. doi: 10.1155/2016/9710965. Epub 2016 Oct 19.
6
Use of Oral Anticoagulation in the Management of Atrial Fibrillation in Patients with ESRD: Pro.终末期肾病患者心房颤动管理中口服抗凝药的应用:专家共识
Clin J Am Soc Nephrol. 2016 Nov 7;11(11):2079-2084. doi: 10.2215/CJN.02680316. Epub 2016 Oct 25.
7
Warfarin use and stroke, bleeding and mortality risk in patients with end stage renal disease and atrial fibrillation: a systematic review and meta-analysis.华法林在终末期肾病合并心房颤动患者中的应用与卒中、出血及死亡风险:一项系统评价与荟萃分析。
BMC Nephrol. 2016 Oct 21;17(1):157. doi: 10.1186/s12882-016-0368-6.
8
The effect of hemodialysis on balance measurements and risk of fall.血液透析对平衡测量及跌倒风险的影响。
Int Urol Nephrol. 2016 Oct;48(10):1705-11. doi: 10.1007/s11255-016-1388-7. Epub 2016 Aug 6.
9
Factors associated with the receipt of antimicrobials among chronic hemodialysis patients.慢性血液透析患者中与抗菌药物使用相关的因素。
Am J Infect Control. 2016 Nov 1;44(11):1269-1274. doi: 10.1016/j.ajic.2016.03.034. Epub 2016 May 13.
10
Dialysis Event Surveillance Report: National Healthcare Safety Network data summary, January 2007 through April 2011.透析事件监测报告:国家医疗安全网络数据摘要,2007年1月至2011年4月
Am J Infect Control. 2016 Aug 1;44(8):944-7. doi: 10.1016/j.ajic.2016.02.009. Epub 2016 Mar 31.