Efficacy of Applying a Structured Checklist on Safety Outcomes of Hemodialysis Patients

Mohammed Abd-Elghany, Soad; Abd- Elrahman Mohamed, Eman; Nabeh Taref, Nagwa; Rady Sobh, Huda

doi:10.21608/ejhc.2023.324232

Efficacy of Applying a Structured Checklist on Safety Outcomes of Hemodialysis Patients

Document Type : Original Article

Authors

¹ Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt,

² Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt

³ Lecturer of Community Health Nursing, Faculty of Nursing, Mansoura University, Egypt

10.21608/ejhc.2023.324232

Abstract

Background: Hemodialysis is a technically complex procedure, that more likely to develop adverse events. Such events expose the patient to harm, lower dialysis quality, and result in life-threatening conditions. The use of checklists is an important strategy for ensuring that procedures are performed safely and reduce treatment-associated morbidity in the hemodialysis unit. Aim: To evaluate the efficacy of applying a structured checklist on safety outcomes of hemodialysis patients. Design: A quasi-experimental one-group (pre- and post-test) design was used. Setting: Hemodialysis unit at Mansoura Main University Hospital. Subjects: A convenient sample composed of 48 hemodialysis patients and 30 nurses. Tools: The researchers used three tools to collect the data: Structured interview questionnaire, it divided into two parts for assessing patient' demographic and medical data in addition to assessing nurses' demographic and professional data, Audit tool and checklists of dialysis safety, and Patients' safety outcomes assessment tool. Results: There was a statistically significant difference in the mean scores of total patients' safety outcomes during hemodialysis phases (sign in, time out, sign out), as well as nurses performance before and after applying the patient safety checklist (P≤0.001). Moreover, there was a statistically significant decrease in the adverse events score (t= 8.167, p≤0.001). Conclusion: As a result of applying the checklist, patients' safety outcomes improved, the frequency of adverse events decreased. Recommendations: A structured checklist can be routinely applied to reduce adverse events and promote a safety culture in hemodialysis units.

Keywords