Development of a hemodialysis safety checklist using a structured panel process

Table 1 Patient safety parameters and Delphi panel results

Patient safety parameter	% of panel selecting parameter
	*First round*	*Second round*
Patient identification	100	100
Pre-dialysis weight	95	100
Allergies checked	95	95
Doctor’s orders noted and transcribed	95	95
Medications correctly administered	100	85
Treatment plan reviewed with patient	90	70
Patient asked about health concerns	100	85
Hand-washing	90	85
Pre-dialysis blood pressure	95	100
Easy cannulation	65	65
Correct needle insertion	80	80
Pain-free cannulation	60	20
Secured dialysis needles	85	70
Correct dialyzer	100	95
Correct dialysis solution	95	100
Correct machine setting	85	100
No circuit clotting	75	70
Blood pump speed at the prescribed rate	80	75
Blood samples collected	80	80
Blood specimens correctly labeled	95	90
Dialysis treatment for complete duration	70	45
No blood loss	80	70
Blood clotting after dialysis	75	65
No evidence of access infection	85	80
Post-dialysis blood pressure	95	100
Post-dialysis weight	90	100
No patient falls	80	80
No needle stick injuries	55	25
Medical errors reported if witnessed	60	40
Management support for incident reporting	70	40
Adherence to procedures	80	70

ISSN: 2054-3581