Table 1 Patient safety parameters and Delphi panel results
From: Development of a hemodialysis safety checklist using a structured panel process
Patient safety parameter | % of panel selecting parameter | |
|---|---|---|
First round | Second round | |
Patient identification | 100 | 100 |
Pre-dialysis weight | 95 | 100 |
Allergies checked | 95 | 95 |
Doctor’s orders noted and transcribed | 95 | 95 |
Medications correctly administered | 100 | 85 |
Treatment plan reviewed with patient | 90 | 70 |
Patient asked about health concerns | 100 | 85 |
Hand-washing | 90 | 85 |
Pre-dialysis blood pressure | 95 | 100 |
Easy cannulation | 65 | 65 |
Correct needle insertion | 80 | 80 |
Pain-free cannulation | 60 | 20 |
Secured dialysis needles | 85 | 70 |
Correct dialyzer | 100 | 95 |
Correct dialysis solution | 95 | 100 |
Correct machine setting | 85 | 100 |
No circuit clotting | 75 | 70 |
Blood pump speed at the prescribed rate | 80 | 75 |
Blood samples collected | 80 | 80 |
Blood specimens correctly labeled | 95 | 90 |
Dialysis treatment for complete duration | 70 | 45 |
No blood loss | 80 | 70 |
Blood clotting after dialysis | 75 | 65 |
No evidence of access infection | 85 | 80 |
Post-dialysis blood pressure | 95 | 100 |
Post-dialysis weight | 90 | 100 |
No patient falls | 80 | 80 |
No needle stick injuries | 55 | 25 |
Medical errors reported if witnessed | 60 | 40 |
Management support for incident reporting | 70 | 40 |
Adherence to procedures | 80 | 70 |