Patient safety hazards |
communication, documentation, and/or training failures |
failure to follow policy and procedure |
poorly designed/implemented policies and procedures |
lapses in infection control and surveillance (including access, catheter and hand hygiene) |
machine design flaws |
facility design flaws (including water purification system) |
Patient safety events |
General safety events |
patient falls |
medication errors |
Access-related issues |
clotting, poor blood flow |
difficulty with cannulation |
needle dislodgment/bleeding from needle site |
prolonged bleeding |
Equipment issues |
failure of dialysis equipment |
failure of water/reuse equipment |