Risk mapping of the management of a hemodialysis patient with Covid-19 in the hemodialysis department of a Moroccan hospital

Abstract

Objective: To map the infectious risk of the management of a hemodialysis patient with Covid-19 during a hemodialysis session in the hemodialysis department of a hospital in Morocco. Methods:Our study focuses on the analysis of a priori risks during the management of a hemodialysis patient with Covid-19 during a hemodialysis session, carried out from September to November 2020, by applying the Failure Modes and Effects and Criticality Analysis (FMECA) method in the hemodialysis department of the Provincial Hospital Centre (PHC) El Jadida in Morocco.Results: 18 failure modes were detected during the analysis of infectious risks in a hemodialysis patient with Covid-19 during a hemodialysis session, including 8 failure modes of criticality class C1, 2 failure modes of criticality class C2 and 8 failure modes of criticality class C3. Corrective actions were proposed to deal with the failure modes of criticality class C3. Discussion:The FMECA method allowed us to identify the most critical failure modes, to prioritize them and to determine corrective actions in order to improve the management of a hemodialysis patient with Covid-19 and consequently to develop the quality and safety of this management. Conclusion:Risk mapping is an essential tool for continuous quality improvement, the aim of which is to maximize the safety of the patient care process and finally satisfy the population.