Patient safety in home hemodialysis: Quality assurance and serious adverse events in the home setting | Zendy

Pauly Robert P. | Zendy; Eastwood Deborah O. | Zendy; Marshall Mark R. | Zendy

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Patient safety in home hemodialysis: Quality assurance and serious adverse events in the home setting

Author(s) -

Pauly Robert P.,

Eastwood Deborah O.,

Marshall Mark R.

Publication year - 2015

Publication title -

hemodialysis international

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.658

H-Index - 47

eISSN - 1542-4758

pISSN - 1492-7535

DOI - 10.1111/hdi.12248

Subject(s) - medicine , hemodialysis , adverse effect , home hemodialysis , quality assurance , patient safety , medical emergency , intensive care medicine , dialysis , health care , surgery , external quality assessment , pathology , economics , economic growth

Interest in home hemodialysis ( HD ) is high because of the reported benefits and its excellent safety record. However, the potential for serious adverse events ( AEs ) exists when patients perform HD in their homes without supervision. We review the epidemiology of dialysis‐related emergencies during home HD , and present a conceptual and practical framework for the prevention and management of serious AEs for those patients performing home HD . In addition, we describe a formal monitored and iterative quality assurance program, and make suggestions for the future development of safety strategies to mitigate the risk of AEs in home HD .

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