Development of a hemodialysis safety checklist using a structured panel process

Canadian Journal of Kidney Health and Disease
Samuel A SilverChaim M Bell

Abstract

The 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. To develop a Hemodialysis Safety Checklist (Hemo Pause) for daily use by nurses and patients. A modified Delphi consensus technique based on the RAND method was used to evaluate and revise the checklist. University-affiliated in-center hemodialysis unit. A 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. The top 5 hemodialysis safety measures according to hemodialysis nurses. A 75% agreement threshold was required for consensus. The 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. The literature review produced 31 patient safety parameters. Individual review by ...Continue Reading

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