Using healthcare failure mode and effect analysis to improve adequacy of maintenance hemodialysis

Subjects: Nursing >> Nursing submitted time 2023-03-06

ZHU Guohong TANG Fengrong WU Ying HUANG Yanrong LIU Jing YAN Meiqiong

Abstract： Objective To explore the adequacy of maintenance hemodialysis by using the Healthcare Failure Modes and Effects Analysis (HFMEA) method, so as to improve the dialysis quality and prognosis of hemodialysis patients. Methods A total of 78 patients who underwent maintenance hemodialysis in Zhongshan Hospital Fudan University (Xiamen Branch) from January 2021 to December 2021 were enrolled. The adequacy of hemodialysis was measured by using single-pool urea clearance (spKt/V). Patients were divided into the standard group (spKt/V≥1.2) and the non-standard group (spKt/V <1.2).HFMEA was used to measure and analyze the causes of hemodialysis insufficiency, and to formulate improvement measures. Results The healthcare failure mode and effect analysis (HFMEA) significantly improved dialysis adequacy in hemodialysis patients, the proportion of non-standard patients were reduced from 19.23% to 2.56% （P=0.002）. Conclusion Management using the HFMEA approach could improve dialysis adequacy in hemodialysis patients, reduce dialysis complications, improve patients'' quality of life.

Peer Review Status:Awaiting Review

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