Brenda R Hemmelgarn, Braden J Manns, Sharon Straus, Christopher Naugler, Jayna Holroyd-Leduc, Ted C Braun, Adeera Levin, Scott Klarenbach, Patrick F Lee, Kevin Hafez, Daniel Schwartz, Kailash Jindal, Kathy Ervin, Aminu Bello, Tanvir Chowdhury Turin, Kerry McBrien, Meghan Elliott, Marcello Tonelli
For health scientists, knowledge translation refers to the process of facilitating uptake of knowledge into clinical practice or decision making. Since high-quality clinical research that is not applied cannot improve outcomes, knowledge translation is critical for realizing the value and potential for all types of health research. Knowledge translation is particularly relevant for areas within health care where gaps in care are known to exist, which is the case for some areas of management for people with chronic kidney disease (CKD), including assessment of proteinuria...
November 2012: Journal of Nephrology
Greg Egan, D Bruce Lange, Shelly Messenger, Daniel Schwartz
No abstract text is available yet for this article.
March 2014: Canadian Journal of Hospital Pharmacy
Ziv Harel, Ron Wald, Jeff Perl, Daniel Schwartz, Chaim M Bell
BACKGROUND: Deficits in the transfer of information between inpatient and outpatient physicians are common and pose a patient safety risk. This is particularly the case for vulnerable populations such as patients with end-stage renal disease requiring dialysis. These patients have unique and complex health care needs that may not be effectively communicated on standard discharge summaries, which may result in potential medical errors and adverse events. OBJECTIVE: To evaluate Canadian dialysis center directors' perceptions of deficiencies in the content and quality of hospital discharge summaries for dialysis patients...
2012: Journal of Multidisciplinary Healthcare
D Bruce Lange, Daniel Schwartz, Gerald DaRoza, Robert Gair
OBJECTIVE: To describe a case of severe central nervous system toxicity after an overdose of lidocaine by local infiltration in a peritoneal dialysis patient and subsequent treatment of the toxicity with lipid emulsion. CASE SUMMARY: A 31-year-old male received an iatrogenic overdose of 1600 mg of lidocaine 2% by infiltration during an attempt to remove and replace a peritoneal dialysis catheter. Within 10 minutes after the last lidocaine injection, the patient exhibited features of local anesthetic toxicity, which included tachycardia, hypertension, shortness of breath, dizziness, and a choking sensation that progressed to hallucinations, dysarthria, and uncoordinated, weak limb movement...
December 2012: Annals of Pharmacotherapy
Nathan Allen, Daniel Schwartz, Paul Komenda, Robert P Pauly, Deborah Zimmerman, Gemini Tanna, Jeffery Schiff, Claudio Rigatto, Manish M Sood
BACKGROUND: The purpose of our study was to determine characteristics that influence the utilization of non-conventional hemodialysis (NCHD) therapies and its subtypes (nocturnal (NHD), short daily (SDHD), long conventional (LCHD) and conventional hemodialysis (CHD) as well as provider attitudes regarding the evidence for NCHD use. METHODS: An international cohort of subscribers of a nephrology education website was invited to participate in an online survey...
2011: BMC Nephrology
Nathan Allen, Daniel Schwartz, Amy R Sood, David Mendelssohn, Mauro Verrelli, Gemini Tanna, Jeff Schiff, Paul Komenda, Claudio Rigatto, Manish M Sood
BACKGROUND: Little is known regarding barriers to guideline adherence in the nephrology community. We set out to identify perceived barriers to evidence-based medicine (EBM) and measurement of continuous quality indicators (CQI) in an international cohort of peritoneal dialysis (PD) practitioners. METHODS: Subscribers to an online nephrology education site (Nephrology Now) were invited to participate in an online survey. Nephrology Now is a non-profit, monthly mailing list that highlights clinically relevant articles in nephrology...
May 2011: Nephrology, Dialysis, Transplantation
Gemini V Tanna, Manish M Sood, Jeffrey Schiff, Daniel Schwartz, David M Naimark
PURPOSE: As the volume of medical literature increases exponentially, maintaining current clinical practice is becoming more difficult. Multiple, Internet-based journal clubs and alert services have recently emerged. The purpose of this study is to determine whether the use of the e-mail alert service, Nephrology Now, increases knowledge translation regarding current nephrology literature. METHOD: Nephrology Now is a nonprofit, monthly e-mail alert service that highlights clinically relevant articles in nephrology...
January 2011: Academic Medicine
D I Schwartz, A Pierratos, R M A Richardson, S S A Fenton, C T Chan
AIM: Anemia is adversely associated with poor uremia control and is an established cardiovascular risk factor in patients with end-stage renal disease (ESRD). Nocturnal home hemodialysis (NHD) is a novel form of renal replacement therapy that offers superior clearance of uremic solutes and improvements in several cardiovascular outcome parameters. We conducted a retrospective cohort study to test the hypotheses that augmenting the dose and frequency of dialysis by NHD would improve hemoglobin (Hb) concentrations and decrease requirement of erythropoietin (EPO) in ESRD patients...
March 2005: Clinical Nephrology
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