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Am J Kidney Dis. 2009 Apr;53(4):681-8. doi: 10.1053/j.ajkd.2008.12.016. Epub 2009 Feb 26.

CKD as an underrecognized threat to patient safety.

Author information

1
Department of Medicine, University of Maryland School of Pharmacy, Baltimore, MD 21201, USA. jfink@medicine.umaryland.edu

Abstract

Chronic kidney disease (CKD) is common, but underrecognized, in patients in the health care system, where improving patient safety is a high priority. Poor disease recognition and several other features of CKD make it a high-risk condition for adverse safety events. In this review, we discuss the unique attributes of CKD that make it a high-risk condition for patient safety mishaps. We point out that adverse safety events in this disease have the potential to contribute to disease progression; namely, accelerated loss of kidney function and increased incidence of end-stage renal disease. We also propose a framework in which to consider patient safety in CKD, highlighting the need for disease-specific safety indicators that reflect unsafe practices in the treatment of this disease. Finally, we discuss the hypothesis that increased recognition of CKD will reduce disease-specific safety events and in this way decrease the likelihood of adverse outcomes, including an accelerated rate of kidney function loss and increased incidence of end-stage renal disease.

PMID:
19246142
PMCID:
PMC3710448
DOI:
10.1053/j.ajkd.2008.12.016
[Indexed for MEDLINE]
Free PMC Article

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