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Showing results for tags 'Medicine - Nephrology'.
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Content Article
Prevention of Future Deaths report – Jamie Poole
Patient Safety Learning posted an article in Coroner reports
Coroner, Emma Serrano, concluded in the coroner's report that transplant patients are put on strong immunosuppressive medication to prevent rejection of the transplanted organ. The medication, tacrolimus in Jamie Lee Pools case, has a common known side effect of reducing magnesium levels within the body. This can be life threatening. Despite this, it is not standard practice to regularly test transplant patients magnesium levels. Whilst the Trust providing care for Jamie Lee Poole, has now remedied this, and routinely test posttransplant patients’ for magnesium levels, this is not the cas- Posted
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- Coroner
- Coroner reports
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News Article
Lessons learned after diabetic bled to death at Shropshire hospital
Patient Safety Learning posted a news article in News
The family of a man who bled to death during kidney dialysis treatment at Royal Shrewsbury Hospital have said they believe lessons have been learned. Mohammed Ismael Zaman, known as Bolly, died after hospital staff failed to check the connection on his dialysis machine, despite it sounding an alarm after the catheter had become disconnected. During Mr Zaman’s treatment at the Royal Shrewsbury Hospital on October 18, 2019, his dialysis machine set off a venous pressure alarm. An unidentified member of staff reset the alarm without checking that the connection was still secure. As- Posted
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News Article
COVID-19: increasing demand for dialysis sparks fears of supply shortage
Patient Safety Learning posted a news article in News
More than a quarter of patients with COVID-19 on ventilators also need renal support in the form of dialysis, raising concerns that there could be significant supply problems as countries attempt to stock up on the required fluid and plastic consumables. Nephrology consultant Graham Lipkin told The BMJ, “This is an under-recognised challenge. While the original focus has been on whether we have enough ventilators and intensive care beds, it has become apparent that there is a high incidence of acute kidney injury (AKI) requiring some form of renal replacement therapy (RRT) through dialysi- Posted
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Content Article
One issue raised by the group at the meeting was the lack of trust for transplant patients in regards to immunosuppression. At home, transplant patients were expected to take their medications, but as soon as they stepped onto the ward, their medications would be locked up. This resulted in immunosuppression being given later than usual and occasionally incorrect doses. This was even more difficult when admitted to hospitals without renal units and it was impossible for patients to challenge healthcare professionals. Indeed, a few patients commented that immunosuppression had been withheld for- Posted
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- Prescribing
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News Article
New guidelines have been published to help doctors and nurses decide how to prioritise patients during the coronavirus pandemic. The advice from the National Institute for Health and Care Excellence (NICE) was produced amid concerns that the NHS would be overwhelmed by the demand for intensive care beds and ventilators. The three new NICE guidelines, which have been drawn up within a week rather than the usual timescale of up to two years, cover patients needing critical care, kidney dialysis and cancer treatment. They say all patients admitted to hospital should still be assess- Posted
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- ICU/ ITU/ HDU
- Underlying health conditions
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Content Article
Top tips: Use various techniques to engage healthcare professionals. Make it fun. Make it relevant. Concentrate on wards where the risk is high but the AKI culture is low – this will result in a wider impact.- Posted
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- Hospital ward
- Monitoring
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Content Article
Who is this aimed at? This tool kit is aimed at everyone. There are different sections for each target group What will I learn? Kidney health Recognition and response to AKI Primary care management post AKI episode Embedding a holistic approach to AKI- Posted
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- GP practice
- Doctor
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