Efficacy of Applying a Structured Checklist on Safety Outcomes of Hemodialysis Patients
Mohammed Abd-Elghany, S., Abd- Elrahman Mohamed, E., Nabeh Taref, N., Rady Sobh, H. (2023). Efficacy of Applying a Structured Checklist on Safety Outcomes of Hemodialysis Patients. EKB Journal Management System, 14(3), 904-918. doi: 10.21608/ejhc.2023.324232
Soad Mohammed Abd-Elghany; Eman Abd- Elrahman Mohamed; Nagwa Nabeh Taref; Huda Rady Sobh. "Efficacy of Applying a Structured Checklist on Safety Outcomes of Hemodialysis Patients". EKB Journal Management System, 14, 3, 2023, 904-918. doi: 10.21608/ejhc.2023.324232
Mohammed Abd-Elghany, S., Abd- Elrahman Mohamed, E., Nabeh Taref, N., Rady Sobh, H. (2023). 'Efficacy of Applying a Structured Checklist on Safety Outcomes of Hemodialysis Patients', EKB Journal Management System, 14(3), pp. 904-918. doi: 10.21608/ejhc.2023.324232
Mohammed Abd-Elghany, S., Abd- Elrahman Mohamed, E., Nabeh Taref, N., Rady Sobh, H. Efficacy of Applying a Structured Checklist on Safety Outcomes of Hemodialysis Patients. EKB Journal Management System, 2023; 14(3): 904-918. doi: 10.21608/ejhc.2023.324232

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

Egyptian Journal of Health Care
Volume 14, Issue 3, September 2023, Page 904-918  XML PDF (539.95 K)
Document Type: Original Article
DOI: 10.21608/ejhc.2023.324232
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Authors
Soad Mohammed Abd-Elghany1; Eman Abd- Elrahman Mohamed2; Nagwa Nabeh Taref3; Huda Rady Sobh1
1Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt,
2Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt
3Lecturer of Community Health Nursing, Faculty of Nursing, Mansoura University, Egypt
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
Hemodialysis; Structured Checklist; Safety Outcomes
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