The development and implementation of a postfall template to improve the content of provider documentation related to falls in the hospital setting.

Patient falls are the focus of many hospital prevention and continuous improvement initiatives. This is due to the potential negative impact on patient quality and safety outcomes, cost of care, and litigation risk. The published literature includes an abundance of information regarding fall-prevention programs; however, there is a gap in the knowledge base pertaining to implications of what is documented by providers (physicians, nurse practitioners, physician assistants).

Cerebral Edema in a Child after Preemptive Kidney Transplantation.

Dialysis disequilibrium syndrome (DDS) is characterized by acute neurological manifestations in patients undergoing first dialysis treatment. The mechanisms for the development of DDS include the reverse urea effect, transient intracranial acidosis, and idiogenic osmoles which can increase intracellular osmolality and promote water movement into the brain. We present a case of a 4-year-old child with chronic kidney disease who underwent a preemptive living unrelated donor kidney transplant.

Perceived barriers to adherence among adolescent renal transplant candidates.

Non-adherence to medical regimens is a ubiquitous hindrance to quality health care among adolescent transplant recipients. Identification of potentially modifiable barriers to adherence when patients are listed for organ transplant would help with early intervention efforts to prepare adolescents for the stringent medication regimen post-transplant. Fifty-six adolescents listed for a kidney transplant, mean age 14.