{"id":1386,"date":"2009-12-18T10:17:02","date_gmt":"2009-12-18T15:17:02","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/avoiding-wrong-meds-in-dialysis-patients%c2%a0having-pci-the-experts-recommendations\/"},"modified":"2011-07-19T17:44:18","modified_gmt":"2011-07-19T21:44:18","slug":"avoiding-wrong-meds-in-dialysis-patients%c2%a0having-pci-the-experts-recommendations","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2009\/12\/18\/avoiding-wrong-meds-in-dialysis-patients%c2%a0having-pci-the-experts-recommendations\/","title":{"rendered":"Avoiding Wrong Meds in Dialysis Patients\u00a0Having PCI: The Expert\u2019s Recommendations"},"content":{"rendered":"<p>According to a recent <a href=\"http:\/\/jama.ama-assn.org\/cgi\/reprint\/302\/22\/2458\">study<\/a>, almost one-fourth of dialysis patients\u00a0undergoing PCI receive an antithrombotic agent (enoxaparin or eptifibatide) that is contraindicated in individuals with renal disease, resulting in\u00a0excessive major bleeding and death.\u00a0<\/p>\n<p>In <a href=\"http:\/\/cardioexchange.org\/blogPost?postId=309\">a CardioExchange\u00a0blog<\/a>, the study&#8217;s lead\u00a0author notes that this error was more likely to occur in hospitals that were rural or\u00a0non-teaching or\u00a0that had lower procedural volumes.\u00a0 He recommends (a) using EMR to avoid this and (b) providing safety seminars in residency\/fellowship training programs.<\/p>\n<p>Will\u00a0such\u00a0strategies\u00a0be effective in the hospital settings where this error is most likely to occur?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>According to a recent study, almost one-fourth of dialysis patients\u00a0undergoing PCI receive an antithrombotic agent (enoxaparin or eptifibatide) that is contraindicated in individuals with renal disease, resulting in\u00a0excessive major bleeding and death.\u00a0 In a CardioExchange\u00a0blog, the study&#8217;s lead\u00a0author notes that this error was more likely to occur in hospitals that were rural or\u00a0non-teaching or\u00a0that had [&hellip;]<\/p>\n","protected":false},"author":214,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,9],"tags":[],"class_list":["post-1386","post","type-post","status-publish","format-standard","hentry","category-general","category-interventional-cardiology"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/1386","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/214"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=1386"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/1386\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=1386"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=1386"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=1386"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}