PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 10165222

How safe is your dialysis unit?

B L Powers
View original source ↗Export metadata ↓

Abstract

The author suggests that the physical plan of the dialysis unit be evaluated, along with the training and skill level of the staff, in handling disruptive patients and de-escalating violence. The unit should be safe and secure for those who work in it and all who receive care there.

Explore related subjects

Hemodialysis Units, HospitalHumansInservice TrainingPatient IsolationProfessional-Patient RelationsSafety ManagementSecurity MeasuresUnited StatesViolenceJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

B L Powers. How safe is your dialysis unit?. https://pubmed.ncbi.nlm.nih.gov/10165222/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2006

Structural requirements for a successful chronic peritoneal dialysis program.

Recently, there has been a decline in chronic peritoneal dialysis (CPD) utilization in several countries. And, in these countries, the percent of patients with end-sage renal disease maintained on CPD is less than nephrologists think is appropriate. The reasons for these problems are uncertain, but it is likely that difficulties with the structural organization of CPD facilities play a contributory role. This paper discusses the structural requirements for a successful CPD program, focusing attention on the following domains: (1) adequate chronic kidney disease education, (2) provision and support of physician training in the principles and practice of CPD, (3) adequate size and organization of CPD centers, (4) development of appropriate support systems within the CPD facility, and (5) development of appropriate continuous quality improvement programs to monitor a variety of domains, including adequacy of dialysis, peritonitis rates, catheter infections and problems, psychosocial status of patients, etc.

Hemodialysis Units, Hospital↗
PubMed2006

Patient safety in the dialysis facility.

Medical mistakes that harm patients have occurred in dialysis facilities, just as they have been reported to cause death in hospitals. A plan to recognize and prevent mistakes includes several elements. (1) Establish a culture of safety, where safe practices are a priority and reporting of adverse events and 'near misses' is encouraged in a non-punitive environment. (2) Redesign processes of care to minimize patient falls, medication errors, bleeding from vascular accesses, dialyzer reuse errors and other problems. (3) Perform root cause analyses of adverse events and 'near misses'. (4) Involve patients in safety efforts, including maintaining an accurate, up-to-date medication list. (5) Dialysis facilities should function as high-reliability organizations, focusing on the possibility of failures, expecting to make errors, training to recognize and recover from them and making system reforms following root cause analyses.

Hemodialysis Units, Hospital↗