Adverse events in hemodialysis: reports of nursing professionals

作者：Gomes de Sousa Maiana Regina; Bauer de Camargo Silva Ana Elisa; Queiroz Bezerra Ana Lucia; de Freitas Juliana Santana; Miasso Adriana Inocenti

来源：Revista da Escola de Enfermagem da USP, 2013, 47(1): 75-82.

• Renal dialysis
• Nursing care
• Security measures

This cross-sectional and quantitative study analyzed the knowledge of nursing professionals about adverse events (AE) in a hemodialysis unit of a teaching hospital. Data collection occurred from February to April, 2011, based on interviews with 25 professionals. Data analysis identified 517 reports of 32 types of AE; the most cited were obstructed catheter, accidental withdrawal of the needle and clotting of the extracorporeal system. Causes related to the patient were mentioned in 42.8% of the reports. The main measures adopted were the implementation/change of protocols and continuing education, with the latter being the primary suggestion for the prevention of AE. The results can contribute to a critical analysis of the quality of care in hemodialysis units, resulting in the development of actions that help to promote patient safety.

• 出版日期2013-2