Abstract

MATARAN ROBLES, Estela María; AGUILAR GARCIA, Rafael  and  MUNOZ BECERRA, Mercedes. Incidence and type of adverse effects during the haemodialysis procedure. Enferm Nefrol [online]. 2013, vol.16, n.1, pp.36-40. ISSN 2255-3517.  https://dx.doi.org/10.4321/S2254-28842013000100006.

Introdution: Nowadays patient safety is a priority for the main health organizations such as the World Health Organization, international bodies such as the European Union, the Council of Europe, healthcare authorities, professional associations and patient organizations. Objective: To describe the incidence and types of adverse effects deriving from haemodialysis in a nephrology unit. Methodology: Design: Transversal study in 28-bed haemodialysis unit. Variables: as a dependent variable, the present of adverse effects and typology was considered, using the International Classification for Patient Safety. Statistical analyses: a description of the sample was carried out, using graphs (histograms, bar diagrams, and dispersion diagrams) and also percentages, means, standard deviations, medians, etc. Results: During the period studied a total of 4797 haemodialysis procedures were carried out, with adverse effects arising in a total of 681 sessions, which represents an incidence rate of 141.96 per 1000 dialyses. As far as severity is concerned, 97.5% of the adverse effects were classified as mild, compared to 1.8% and 0.7% which were considered moderate and serious, respectively. Conclusions: Our incidence rate and severity of adverse effects is similar to other centres. This study lets us identify safety problems in our Unit and in a second phase establish a joint protocol which will allow us to reduce the current incident rate. Hypotension was the most common adverse effect.

Keywords : Adverse effect; Haemodialysis.

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