ArticleCanadian journal of kidney health and disease2015
Development of a hemodialysis safety checklist using a structured panel process.
Article in Canadian journal of kidney health and disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Guideline
- Enhancing the Cardiovascular Safety of Hemodialysis Care Using Multimodal Provider Education and Patient Activation Interventions: Protocol for a Cluster Randomized Controlled Trial.JMIR research protocols · 2023Article
- A Systematic Literature Review of Safety Culture in Hemodialysis Settings.Journal of multidisciplinary healthcare · 2023Review
- Checklist design and implementation: critical considerations to improve patient safety for low-frequency, high-risk patient events.BMJ simulation & technology enhanced learning · 2020Article
- Feasibility of a hemodialysis safety checklist for nurses and patients: a quality improvement study.Clinical kidney journal · 2016Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe World Health Organization created a Surgical Safety Checklist with a pause or "time out" to help reduce preventable adverse events and improve communication. A similar tool might improve patient safety and reduce treatment-associated morbidity in the hemodialysis unit.
objectiveTo develop a Hemodialysis Safety Checklist (Hemo Pause) for daily use by nurses and patients.
designA modified Delphi consensus technique based on the RAND method was used to evaluate and revise the checklist.
settingUniversity-affiliated in-center hemodialysis unit.
participantsA multidisciplinary team of physicians, nurses, and administrators developed the initial version of the Hemo Pause Checklist. The evaluation team consisted of 20 registered hemodialysis nurses. MEASUREMENTS: The top 5 hemodialysis safety measures according to hemodialysis nurses. A 75% agreement threshold was required for consensus.
methodsThe structured panel process was iterative, consisting of a literature review to identify safety parameters, individual rating of each parameter by the panel of hemodialysis nurses, an in-person consensus meeting wherein the panel refined the parameters, and a final anonymous survey that assessed panel consensus.
resultsThe literature review produced 31 patient safety parameters. Individual review by panelists reduced the list to 25 parameters, followed by further reduction to 19 at the in-person consensus meeting. The final round of scoring yielded the following top 5 safety measures: 1) confirmation of patient identity, 2) measurement of pre-dialysis weight, 3) recognition and transcription of new medical orders, 4) confirmation of dialysate composition based on prescription, and 5) measurement of pre-dialysis blood pressure. Revision using human factors principles incorporated the 19 patient safety parameters with greater than or equal to 75% consensus into a final checklist of 17-items. LIMITATIONS: The literature review was not systematic. This was a single-center study, and the panel lacked patient and family representation.
conclusionsA novel 17-item Hemodialysis Safety Checklist (Hemo Pause) for use by nurses and patients has been developed to standardize the hemodialysis procedure. Further quality improvement efforts are underway to explore the feasibility of using this checklist to reduce adverse events and strengthen the safety culture in the hemodialysis unit.
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