INCIDENTS IN BEDSIDE HEMODIALYSIS SESSIONS IN INTENSIVE CARE UNITS

ABSTRACT

Objective:

to analyze incidents during bedside hemodialysis sessions held in Intensive Care Units.

Method:

cross-sectional, retrospective study, developed in Intensive Care Units of Goiânia, Brazil. Analysis of incidents identified in bedside hemodialysis sessions was performed between March and April 2018. Descriptive analysis was performed for categorical data and for continuous data, mean and standard deviation of the mean.

Results:

873 sessions were analyzed, and 563 incidents were recorded. Among those reported, 259 (46%) were inherent to the treatment. Near miss was the most frequent type of incident, generating delay in the beginning of the session, and no support from the multi-professional team (p<0.05). In 132 (56.12%) of the notifiable circumstances, the professional worked for more than 12 uninterrupted hours (p<0.05).

Conclusion:

the analysis of the results allows students and experts in the area to subsidize improvement strategies for the service.

DESCRIPTORS
Quality of Health Care; Sentinel Surveillance; Patient Safety; Patient Harm; Nephrology Nursing