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January 17, 2012

Establishing the Culture of Safety in Dialysis


4 Comments to “Establishing the Culture of Safety in Dialysis”

  1. Petter Olsson said,

    January 18, 2012 @ 7:55 am

    It was exciting to see this post from DaVita making a stand in regards to patient safety in dialysis, recognizing RPA’s program Keeping Kidney Patients Safe as a fantastic resource. Knowing the risks involved with Venous Needle Dislodgements, the statement of how to implement the culture of safety in our facilities “By making a commitment as nephrologists and medical directors to make this a core part of how we function” and “We need to make a commitment as we enter 2012”, it certainly sounds promising that change is happening.

    With growing patient populations in both Home HD and Nocturnal HD, we are looking forward to the next steps taken by DaVita to help prevent and detect the preventable complication Venous Needle Dislodgement. In particular when this is happening in a time of a “shrinking workforce in dialysis”, consequently less caretakers available to visually monitor and react to complications.

    Thanks,
    Petter Olsson
    Redsense Medical Inc

  2. Jane Hurst, RN, CLNC said,

    January 19, 2012 @ 3:33 am

    Dr. Nissenson, It is refreshing to read that you are committed to establishing a culture of safety within DaVita. Healthcare safety organizations have worked diligently for years to raise awareness of the weak links in the chain of safe patient care. But the only way we will see improvements is when everyone is working together on a common goal. Speaking from a medical-legal perspective; it has been my experience that many instances of poor outcomes in patient care are directly related to the issues identified by the AHRQ. Short staffing, errors made by staff that are not revealed for fear of punishment, lack of continuity of care, and not utilizing available safety devices because of the expense, are themes I frequently see. I sincerely hope that your commitment to a Culture of Safety in dialysis is more than just words. 

  3. Allen Nissenson said,

    January 19, 2012 @ 8:23 am

    You have rightfully pointed out that ensuring patient safety requires a commitment from the highest levels of the organization to the teammates working in the field. We have made such a commitment and will be working hard going forward to walk the walk!

  4. Nancy Armistead said,

    February 1, 2012 @ 11:05 am

    Allen,
    I wonder if you are aware of the 5 Diamond Patient Safety Program that 12 of the ESRD Networks now participate in. This program was designed originally by Networks 5 & 1 to promote a culture of patient safety in the dialysis centers and many providers (including DaVita) have been through the program. A facility obtains a diamond for each module completed and receives rewards (such as a certificate, free registration at meetings) for obtaining 5 diamond status. The website for additional information is 5diamondpatientsafety.org.
    Regards,
    Nancy


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