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Related Concept Videos

Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

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Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
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Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

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Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
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Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

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Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
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Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

48
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

104
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
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Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

67
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
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Safe Patient Care in CKD: Core Curriculum 2025.

Prasheen Shah1, Hassan Mahmoud1, Grant Oakley1

  • 1Division of Nephrology and Transplantation, Department of Medicine, Maine Medical Center, Portland, Maine; School of Medicine, Tufts University, Boston, Massachusetts.

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
|July 7, 2025
PubMed
Summary
This summary is machine-generated.

Patient safety in chronic kidney disease (CKD) is crucial due to complex care needs. Nephrologists require expertise in preventing harm, managing medications, and utilizing technology to improve care quality and safety for CKD patients.

Keywords:
Patient safetychronic kidney disease

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Area of Science:

  • Nephrology
  • Healthcare Quality and Safety

Background:

  • Healthcare quality and safety are critical, yet complete prevention of patient harm remains a challenge.
  • Patients with chronic kidney disease (CKD) face elevated risks for adverse events due to illness complexity and impaired kidney function affecting treatment choices.
  • The evolving landscape of therapeutics for conditions like diabetic nephropathy and anemia in CKD necessitates heightened attention to medication safety.

Purpose of the Study:

  • To outline essential nephrologist competencies for ensuring patient safety in the context of chronic kidney disease.
  • To highlight the unique safety challenges faced by patients with CKD, including medication, diagnostic, and procedural safety.
  • To emphasize the role of technological advancements and patient engagement in mitigating errors and improving safety.

Main Methods:

  • This Core Curriculum addresses essential nephrologist competencies.
  • It reviews principles and methods for evaluating harm and near-harm events.
  • It discusses the influence of declining kidney function on diagnostic studies, therapies, and procedural safety.

Main Results:

  • Complete prevention of unintended harm in healthcare is currently unattainable.
  • Nephrologists need specialized knowledge of patient safety principles to manage risks in CKD.
  • Technological applications show promise in reducing human error and enhancing patient partnership in care.

Conclusions:

  • Maintaining patient safety in chronic kidney disease requires specialized nephrologist competency.
  • Addressing medication, radiologic imaging, and procedural safety is paramount for CKD patients.
  • Leveraging technology and patient engagement are key strategies for improving safety outcomes.