Safety of patients with chronic kidney disease in hemodialysis clinics in northeastern Brazil

Magda Milleyde de Sousa Lima, Cristina da Silva Fernandes, Marina Guerra Martins, Deannynne Perdigão Mineiro, Natália Ângela Oliveira Fontenele, Lívia Moreira Barros, Paulo César de Almeida, Joselany Áfio Caetano
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Abstract

Objectives: analyze patient safety in hemodialysis clinics in northeastern Brazil. Methods: One hundred eighty-one nursing professionals from 11 hemodialysis clinics in Fortaleza, Brazil, participated. Data collection occurred through the application of a sociodemographic characterization form and the Patient Safety Assessment Scale for Chronic Patients in Hemodialysis. Descriptive analysis of quantitative variables and the Chi-Square and Likelihood Ratio statistical tests were performed. Results: The study showed that 165 (91.2%) subjects received safe care practices, while 16 (8.8%) received unsafe care practices, originating from two (18%) hemodialysis clinics. There was a significant association between work hours (p=0.017) and participation in patient safety training (p=0.005) and care practices. Conclusion: Non-compliant patient safety practices were identified, associated with sociodemographic factors of the nursing team. Targeted interventions are needed to improve patient safety in these settings.
巴西东北部血液透析诊所慢性肾病患者的安全问题
目的:分析巴西东北部血液透析诊所的患者安全状况。方法巴西福塔莱萨市 11 家血液透析诊所的 181 名专业护理人员参加了此次调查。数据收集采用了社会人口学特征表和血液透析慢性病患者安全评估量表。对定量变量进行了描述性分析,并进行了奇偶校验和似然比统计检验。结果显示研究显示,165 名受试者(91.2%)接受了安全的护理措施,16 名受试者(8.8%)接受了不安全的护理措施,这些受试者来自两家血液透析诊所(18%)。工作时间(p=0.017)和参加患者安全培训(p=0.005)与护理措施之间存在明显关联。结论:已发现不符合患者安全的做法与护理团队的社会人口因素有关。需要采取有针对性的干预措施,以改善这些环境中的患者安全。
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