降低血液透析管路異常事件發生率

Translated title of the contribution: Reducing the Incidence of Haemodialysis Tubing Complications

林榆絜, 傅惠君, 李宜真, 吳麗敏, 王佳慧

Research output: Contribution to journalArticle

Abstract

Tubing complications not only cause blood loss, but also increase the length of hospitalisation for patients. In some cases, they may even lead to patient death and medical disputes. Against such a backdrop, this project was launched with the aim of reducing the incidence of haemodialysis tubing complications. From July to December of 2016, said incidence rate was (2.43 per mille), and a project team was formed to investigate the reasons behind the incidents that occurred. It was discovered that the causes included inadequate execution of haemodialysis techniques; the lack of knowledge regarding the prevention of haemodialysis tubing complications; the absence of an audit system; the lack of in-service education covering tubing safety; the lack of reminder slogans within the unit; and the lack of auxiliary tools for securing tubing. The following response measures were implemented over a five-month period: the revision of the hospital's Technical Standards for Haemodialysis Treatments; the training of seed teachers who can provide instruction on the use of haemodialysis machines; the implementation of regular audits for haemodialysis technique; the provision of in-service education covering tubing safety; the creation of display stands for reminder slogans; and the development of an arm board for securement purposes. These measures reduced the incidence of haemodialysis tubing complications from (2.43 per mille) to (0.42 per mille), indicating that the project had not just achieved its primary aim, but also enhanced the self-care knowledge of patients with respect to dialysis tubing.
Translated title of the contributionReducing the Incidence of Haemodialysis Tubing Complications
Original languageTraditional Chinese
Pages (from-to)34-49
Number of pages16
Journal臺灣腎臟護理學會雜誌
Volume19
Issue number1
DOIs
Publication statusPublished - 2020

Keywords

  • hemodialysis
  • tubing safety
  • abnormal events

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