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Enfermería Nefrológica

On-line version ISSN 2255-3517Print version ISSN 2254-2884


SANCHEZ IZQUIERDO, Francisco Luis; OLMEDO MORENO, Noelia; URBON PELAEZ, Nuria  and  RICO GONZALEZ, Ana Ángeles. Analysis of the safety culture of the patient in out-of-hospital hemodialysis units. Evolution after the implementation of measures. Enferm Nefrol [online]. 2018, vol.21, n.1, pp.25-33. ISSN 2255-3517.


Developing patient safety culture is recommended for safer care.


• Knowing the frequency of staff perceptions and attitudes of health-care workers in hemodialysis centers concerning patient safety.

• Identifying strengths and improvement areas in relation to patient safety.

• Contrasting the results obtained, after the implementation of measures, with those of the 2014 study.

Material and Method:

A quantitative, descriptive, cross sectional and comparative study to evaluate patient safety culture in six hemodialysis centers through an anonymous self-administered questionnaire (Patient Safety Questionnaire, Spanish version of the Hospital Survey on Patient Safety) in August 2014 and March 2017. An adverse event notification system was implemented during this period, as well as a patient safety training.


The average rating of staff security perception was 8.02 (± 1.42). The notification expressed by professionals has increased significantly (62.5%). Teamwork (86.2%), error feedback (75.5%) and management/supervision expectations (75.1%) were identified as strengths. Seven out of the twelve dimensions studied showed a significant improvement in relation to the 2014 results.


A significant increase in positive response ratio could be attributed to the training programs carried out in the centers and to the implementation of the notification system, as well as to the reports already published.

Keywords : safety culture; patient safety; hemo dialysis; safety management.

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