Intérêt d’une évaluation multicritères systématique de la séance de dialyse

Galland, Roula; Hallonet, P.; Pachot, Monique; Combe, C; Schoenfelder, Isabelle; Beaudoin, Agnès Caillette

doi:10.1016/j.nephro.2013.04.002

Cited by 2 publications

(5 citation statements)

References 2 publications

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“…The results of our study are in keeping with the results of two other hemodialysis checklist feasibility studies [ 10 , 11 ]. The checklists by Marcelli et al [ 10 ] and Galland et al [ 11 ] were found to be feasible and acceptable for use among their study participants. The acceptance of our checklist by nursing staff and patients may be related to the common features it shares with the aforementioned checklists, with 70–80% of the items similar across all three checklists.…”

Section: Discussionsupporting

confidence: 88%

“…Checklists may represent a solution to improving the safety culture in the hemodialysis unit. Indeed, checklists have been piloted in two European hemodialysis units, which demonstrated an improvement in safety culture and quality of care [ 10 , 11 ]. Despite the improvements, the aforementioned checklists focused primarily on nurse–physician communication and the patient experience.…”

Section: Introductionmentioning

confidence: 99%

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Feasibility of a hemodialysis safety checklist for nurses and patients: a quality improvement study

et al. 2016

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BackgroundPatients with end-stage renal disease are at high risk for medical errors given their comorbidities, polypharmacy and coordination of care with other hospital departments. We previously developed a hemodialysis safety checklist (Hemo Pause) to be jointly completed by nurses and patients. Our objective was to determine the feasibility of using this checklist during every hemodialysis session for 3 months.MethodsWe conducted a single-center, prospective time series study. A convenience sample of 14 nurses and 22 prevalent in-center hemodialysis patients volunteered to participate. All participants were trained in the administration of the Hemo Pause checklist. The primary outcome was completion of the Hemo Pause checklist, which was assessed at weekly intervals. We also measured the acceptability of the Hemo Pause checklist using a local patient safety survey.ResultsThere were 799 hemodialysis treatments pre-intervention (13 January–5 April 2014) and 757 post-intervention (5 May–26 July 2014). The checklist was completed for 556 of the 757 (73%) treatments. Among the hemodialysis nurses, 93% (13/14) agreed that the checklist was easy to use and 79% (11/14) agreed it should be expanded to other patients. Among the hemodialysis patients, 73% (16/22) agreed that the checklist made them feel safer and should be expanded to other patients.ConclusionsThe Hemo Pause safety checklist was acceptable to both nurses and patients over 3 months. Our next step is to spread this checklist locally and conduct a mixed methods study to determine mechanisms by which its use may improve safety culture and reduce adverse events.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Feasibility of a hemodialysis safety checklist for nurses and patients: a quality improvement study

et al. 2016

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“…As previously mentioned, our experience with the use of a checklist for safety and quality aspects in dialysis is not unique. A similar approach was tested by another group in France [ 10 ]. Interestingly, the two separate studies in France and Portugal produced very similar results.…”

Section: Discussionmentioning

confidence: 99%

“…Galland et al . [ 10 ], on the other hand, assigned more relevance to nurse–physician communication. It should be mentioned that checklists have already previously been proven to be a valid tool in improving communication between nurses, surgeons and anaesthesiologists [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…Galland et al . [ 10 ] followed this recommendation by applying a checklist in the dialysis room focusing on the safety aspect of the haemodialysis session, in particular by optimizing and regulating the communication between nurses and physicians. Following the suggestion of the WHO, and unaware of the Galland initiative, we prepared a checklist considering safety and quality aspects of the extracorporeal dialysis session.…”

Section: Introductionmentioning

confidence: 99%

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Implementation of a quality and safety checklist for haemodialysis sessions

Marcelli

Matos²,

Sousa³

et al. 2015

Clin Kidney J

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BackgroundPatient survival and quality of life depend on each haemodialysis session being performed without fault. Monthly assessments of dialysis dose adequacy often fall short of this. This study reports the results of a feasibility study for the achievement of improved safety and quality in a haemodialysis session with the implementation of a 15-point checklist.MethodsFifteen quality indicators were compiled and tested in a Portuguese dialysis clinic from 1 February 2012 to 30 June 2013. The checklist was completed by the nursing staff and comprised three parts: Pre-session Safety Checks; Session Initiation Checks and Post-session Quality Checks. The maximum score that could be reached per session was 15.ResultsOne hundred and twenty-eight patients were distributed over 2–3 shifts. Of the 16 nurses employed, 4 were full time. The final average score was between 14 and 15. No nurse-specific and no shift-specific significant differences were detected. Four issues were identified that had a major effect on the results as a whole: delays in connection time; incompletely delivered treatment time; non-achievement of final body weight and failure to reach a Kt/V of at least 1.4. Improvements were most consistent in the Monday–Wednesday–Friday morning shifts compared with other shifts, and were temporarily compromised by the opening of a new shift.ConclusionsThe implementation of checklists for haemodialysis is feasible in routine clinical practice, even in clinics where only part of the staff is employed full time. The application of such checklists enhances the overall quality and safety of the delivered treatment.

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Intérêt d’une évaluation multicritères systématique de la séance de dialyse

Cited by 2 publications

References 2 publications

Feasibility of a hemodialysis safety checklist for nurses and patients: a quality improvement study

Feasibility of a hemodialysis safety checklist for nurses and patients: a quality improvement study

Implementation of a quality and safety checklist for haemodialysis sessions

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