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Showing results for tags 'Medicine - Renal'.
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News Article
Huge covid death rate among vulnerable patients who have to travel to hospital
Patient Safety Learning posted a news article in News
Dialysis patients who must travel to hospital are nearly four times as likely to die of covid than those aged over 80, but so far have not been prioritised for receiving vaccination, HSJ has learned. UK Renal Registry data shows that, from March to November 2020, 3.3% of all in-centre haemodialysis patients have died from covid (662 deaths out of a population of 20,000). This figure compares to a death rate of approximately 0.7% in all those aged over 80 and 1.8% in over 90s. Although the government classifies dialysis patients as clinically extremely vulnerable to COVID-19, not all patients are able to receive dialysis at home and those receiving inpatient treatment still need to travel to dialysis clinics, either in main hospital buildings or smaller satellite clinics, three times a week. At present the Joint Committee on Vaccine and Immunisation COVID-19 vaccine prioritisation list ranks all dialysis patients at priority level four, alongside all other shielding patients and those aged over 70. Priority one covers all care home residents and staff, while priority two covers all over 80s and frontline health workers. The Renal Association wrote to Public Health England and JCVI over the weekend to ask for a change in vaccine prioritisation but, at the time of writing, has not received a response. Read full story (paywalled) Source: HSJ, 9 December 2020 -
Content Article
Getting It Right First Time (GIRFT) is designed to improve the quality of care within the NHS by reducing unwarranted variations. By tackling variations in the way services are delivered across the NHS, and by sharing best practice between trusts, GIRFT identifies changes that will help improve care and patient outcomes, as well as delivering efficiencies such as the reduction of unnecessary procedures and cost savings. Renal medicine covers the prevention, diagnosis and treatment of kidney diseases. This report presents 18 recommendations based on visits to all 52 adult renal centres in England. Key recommendations include: increasing rates of dialysis therapy to suitable patients. improved access to transplantation. faster transfer of patients with acute kidney injury. You will need a FutureNHS account to view this report, or you can watch a short video summary of the report which includes key recommendations. -
Content Article
This Patient Safety Notice has been developed by Sandwell and West Birmingham NHS Trust following a serious incident inquest of a case involving sampling from a central line. A patient, under renal physicians, required blood cultures from their central venous line (normally used for haemodialysis). Due to unfamiliarity with the correct procedure the line was not clamped prior to use. Air therefore entered the port causing an air embolus and subsequently cardiac arrest. This poster is also available to download via the attached PDF.- Posted
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Content Article
Kidney Care UK has been working with medical colleagues and partners on information and advice about COVID-19 specifically for people with kidney disease. Their web page contains guidance for kidney patients and also information on the action that NHS renal services are taking during this outbreak. Further guidance is being developed for those on dialysis; those with a transplant; those with renal diseases who depend on immunosuppressant medication; those with declining kidney function; and those with chronic kidney disease. At the moment your current treatment plans will not change. However, advice is being updated on a daily basis so please do refer back to Kidney Care UK's page as it will be updated in response to any developments.- Posted
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Content Article
The Royal College of General Practitioners (RCGP) have developed this toolkit to disseminate learning highlighted from acute kidney injury (AKI) case notes reviews, part of the RCGP AKI Quality Improvement project. Working with GP practices, they have put together resources, alongside national Think Kidneys guidance, to support the implementation of quality improvement methods into routine clinical practice. 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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Content Article
Acute Kidney Injury - Podcast
Patient Safety Learning posted an article in By health and care staff
A podcast discussing blogs from Dr Josh Farkas of the PulmCrit blog on the importance of renal protection in sepsis. FOAMcast reviews Dr Josh Farkas's PulmCrit blog posts on 'Renal microvascular haemodynamics in sepsis: a new paradigm' and 'Renoresuscitation: Sepsis resuscitation designed to avoid long-term complications', in which he posits that renal protection in sepsis may prove beneficial for patients. -
Content Article
This report by Kidney Research UK brings together evidence from people affected by kidney disease, health professionals and researchers. It sets out recommendations for the research community and priorities identified by patients, to move us towards equitable kidney health for all. Read the lay summary- Posted
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- Medicine - Renal
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