Premium
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 .