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CANNT journal = Journal ACITN最新文献

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Revitalization 振兴
CANNT journal = Journal ACITN Pub Date : 2020-11-25 DOI: 10.1007/978-3-319-95981-8_300143
{"title":"Revitalization","authors":"","doi":"10.1007/978-3-319-95981-8_300143","DOIUrl":"https://doi.org/10.1007/978-3-319-95981-8_300143","url":null,"abstract":"","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51032251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
An Evaluation of Medication Reconciliation in an Outpatient Nephrology Clinic. 门诊肾脏病诊所药物和解评估。
CANNT journal = Journal ACITN Pub Date : 2017-04-01
Matthew Phillips, Jo-Anne Wilson, Amany Aly, Marsha Wood, Penelope Poyah, Sarah Drost, Anne Hiltz, Holly Carver
{"title":"An Evaluation of Medication Reconciliation in an Outpatient Nephrology Clinic.","authors":"Matthew Phillips,&nbsp;Jo-Anne Wilson,&nbsp;Amany Aly,&nbsp;Marsha Wood,&nbsp;Penelope Poyah,&nbsp;Sarah Drost,&nbsp;Anne Hiltz,&nbsp;Holly Carver","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Accreditation Canada recognizes medication reconciliation as a key required organizational practice (ROP) to enhance patient safety. Patients with chronic kidney disease (CKD) carry a high risk for adverse drug events due to multiple co-morbidities, using many medications, and being cared for by many practitioners. Data evaluating the benefits of ambulatory medication reconciliation (AmbMR) in patients with advanced CKD is limited.</p><p><strong>Methods: </strong>We retrospectively evaluated types and rates of medication discrepancies and their potential index for patient harm using the Cornish classification system in a cohort of consecutive non-dialysis-dependent CKD stage 5 patients who received AmbMR.</p><p><strong>Results: </strong>AmbMR was conducted 225 times on 115 patients during the study period. One hundred eighty medication discrepancies were identified. The most common discrepancy identified was incorrect drug followed by discrepant dose, discrepant frequency, and drug omission. Sixty-three percent of discrepancies were classified as unlikely to cause patient discomfort or clinical deterioration, 36% were classified as likely to cause moderate harm, and one percent was classified as potential to cause serious harm.</p><p><strong>Conclusion: </strong>Medication discrepancies are common in patients with advanced CKD. Nearly a quarter of patients may experience moderate discomfort or clinical deterioration from discrepancies. Our study showed that in patients with non-dialysis-dependent CKD stage 5, the risk of patient harm associated with medication discrepancies can be reduced by conducting AmbMR.</p>","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"26 2","pages":"29-33"},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35628045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute kidney injury secondary to lymphoma. 淋巴瘤继发急性肾损伤。
CANNT journal = Journal ACITN Pub Date : 2017-01-01
Patwant Dhillon, Marisa Battistella​
{"title":"Acute kidney injury secondary to lymphoma.","authors":"Patwant Dhillon,&nbsp;Marisa Battistella​","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"27 1","pages":"19-22"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35628044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The psychiatry-integrated nurse practitioner role in hemodialysis: An opportunity to provide nurse practitioner care between the interface of psychiatry and hemodialysis. 精神病学综合执业护士在血液透析中的作用:提供精神病学和血液透析界面之间执业护士护理的机会。
CANNT journal = Journal ACITN Pub Date : 2017-01-01
Brock Cooper, Kien Dang, Ann Jones, Alison Thomas
{"title":"The psychiatry-integrated nurse practitioner role in hemodialysis: An opportunity to provide nurse practitioner care between the interface of psychiatry and hemodialysis.","authors":"Brock Cooper,&nbsp;Kien Dang,&nbsp;Ann Jones,&nbsp;Alison Thomas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The mental health of patients living with end-stage kidney disease (ESKD) is an important aspect of their care. According to national survey data, depressive disorders affect about 9% of the North American population (Kessler, Chiu, Demler, Merikangas, & Walters, 2005). A review of psychological distress and depression across the spectrum of chronic kidney disease indicates that the prevalence of depression in ESKD is reported to be about four times that of the general population and it is associated with adverse outcomes including low quality-of-life ratings, graft failure, and death after renal transplantation (Zalai, Szeifert, & Novak, 2012). At St. Michael’s Hospital (SMH), patients on hemodialysis (HD) requiring psychiatry consultation had traditionally been referred to a dedicated outpatient psychiatrist. This presented challenges around access to psychiatry assessment and follow-up, as patients were reluctant to attend appointments outside of HD visits. The team recognized these challenges and addressed them through the introduction of the Medical Psychiatry NP (MP NP) role, as the point-of-care consultant in HD.</p>","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"27 1","pages":"13-8"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35628046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Canadian Organ Replacement Register: From data submission to final reports. 加拿大器官替代登记:从数据提交到最终报告。
CANNT journal = Journal ACITN Pub Date : 2016-04-01
Alison Thomas
{"title":"The Canadian Organ Replacement Register: From data submission to final reports.","authors":"Alison Thomas","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"26 2","pages":"34-6"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35628047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Are you SURE about your vascular access? Exploring factors influencing vascular access decisions with chronic hemodialysis patients and their nurses. 你确定血管通畅吗?探讨影响慢性血液透析患者及其护士血管通路决策的因素。
CANNT journal = Journal ACITN Pub Date : 2016-04-01
Mary Ann Murray, Alison Thomas, Ron Wald, Rosa Marticorena, Sandra Donnelly, Lianne Jeffs
{"title":"Are you SURE about your vascular access? Exploring factors influencing vascular access decisions with chronic hemodialysis patients and their nurses.","authors":"Mary Ann Murray,&nbsp;Alison Thomas,&nbsp;Ron Wald,&nbsp;Rosa Marticorena,&nbsp;Sandra Donnelly,&nbsp;Lianne Jeffs","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A major decision for patients with stage 5 chronic kidney disease (CKD) relates to vascular access (VA) for treatment. Patients who receive pre-dialysis care often defer making a decision, which results in initiation of hemodialysis (HD) with a central venous catheter (CVC) in an urgent or emergent situation. Little is known about how individuals make decisions around VA. In this context, a mixed-methods study was undertaken to explore uncertainty related to changing their VA from an existing CVC to a graft or fistula. Quantitative assessment was measured using the SURE tool and interviews with patients and nurses were conducted. Results revealed that none of the 16 patient participants reported uncertainty. Qualitative findings revealed that patient decisions about access were impacted by observations, experiences, and dialogue in the hemodialysis unit. Study findings have important implications including the challenge of reconciling epidemiologic population-based risk measurement to the individual patient’s situation. Moreover, the SURE tool was viewed as a mechanism to open a dialogue to confirm patients’ decisions and provide further education and/or support following HD initiation.</p>","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"26 2","pages":"21-8"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35232540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Engaging health care providers to improve the referral and evaluation processes for potential transplant candidates--The Toronto General Hospital Experience. 参与卫生保健提供者改善潜在移植候选人的转诊和评估过程——多伦多综合医院的经验。
CANNT journal = Journal ACITN Pub Date : 2016-01-01
Olusegun Famure, Heebah Sultan, Nicholas Phan, Michael Garrels, Lee-Anne Hyer, S Joseph Kim
{"title":"Engaging health care providers to improve the referral and evaluation processes for potential transplant candidates--The Toronto General Hospital Experience.","authors":"Olusegun Famure,&nbsp;Heebah Sultan,&nbsp;Nicholas Phan,&nbsp;Michael Garrels,&nbsp;Lee-Anne Hyer,&nbsp;S Joseph Kim","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Kidney Transplant Program (KTP) at the Toronto General Hospital has taken great strides in preparing to meet the needs of patients and health care providers, as the number of end-stage renal disease patients in Ontario increases. The KTP has begun the process of increasing engagement and collaboration with various stakeholders from the pre- to the post-transplant phase through (1) the development of innovative programs to increase the number of live kidney donations, (2) the development and maintenance of information technology solutions that work simultaneously to provide data to manage and treat patients, and conduct research, and (3) the development, implementation, and delivery of educational presentations and tools to various stakeholders both at the referring centres and the transplant program. Future steps for the KTP include evaluating the impact of these programmatic tools and activities on the number of referrals received and the subsequent effect on the number of transplants performed.</p>","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"26 1","pages":"12-6"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34510118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fatigue in chronic kidney disease: Definition, assessment and treatment. 慢性肾脏疾病的疲劳:定义、评估和治疗。
CANNT journal = Journal ACITN Pub Date : 2016-01-01
Dora Zalai, Miqdad Bohra
{"title":"Fatigue in chronic kidney disease: Definition, assessment and treatment.","authors":"Dora Zalai,&nbsp;Miqdad Bohra","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chronic fatigue--an overwhelming subjective feeling of mental or physical exhaustion--impacts patients' everyday functioning and quality of life, delays recovery after hemodialysis, and increases mortality. There are a number of factors that may perpetuate clinically significant fatigue among individuals with chronic kidney disease, including sleep disorders, depression, sedentary lifestyle, anemia, and chronic inflammation. Some of these factors (i.e., anemia and inflammation) are in the forefront of clinical attention, whereas the other contributing factors often remain unrecognized. This article provides a pragmatic overview of the definition, assessment, maintaining factors, and management of fatigue in chronic kidney disease. Given that chronic fatigue is a major determinant of patients' quality of life, nurses can bring about a fundamental improvement in patients' well-being if they recognize the most common fatigue-perpetuating factors and facilitate fatigue management interventions.</p>","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"26 1","pages":"39-44"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34511533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Making home-made phantom models for hemodialysis ultrasound vascular access assessment and real-time guided cannulation training. 自制血液透析超声血管通路评估模型及实时引导插管训练模型。
CANNT journal = Journal ACITN Pub Date : 2016-01-01
Rosa M Marticorena, Linda Mills, Kelly Sutherland, Norma McBride, Cheryle Keys, Latha Kumar, Jovina Concepcion Bachynski, Carol Rivers, Elizabeth J Petershofer, Joyce Hunter, Rick Luscombe, Sandra Donnelly
{"title":"Making home-made phantom models for hemodialysis ultrasound vascular access assessment and real-time guided cannulation training.","authors":"Rosa M Marticorena,&nbsp;Linda Mills,&nbsp;Kelly Sutherland,&nbsp;Norma McBride,&nbsp;Cheryle Keys,&nbsp;Latha Kumar,&nbsp;Jovina Concepcion Bachynski,&nbsp;Carol Rivers,&nbsp;Elizabeth J Petershofer,&nbsp;Joyce Hunter,&nbsp;Rick Luscombe,&nbsp;Sandra Donnelly","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"26 1","pages":"34-8"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34511532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Update on phosphate binders: The old and the new. 最新的磷酸盐粘合剂:旧的和新的。
CANNT journal = Journal ACITN Pub Date : 2016-01-01
Jacob Cashin, Marisa Battistella
{"title":"Update on phosphate binders: The old and the new.","authors":"Jacob Cashin,&nbsp;Marisa Battistella","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"26 1","pages":"17-21; quiz 22-3"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34510116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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