Table 2.
Quality of care and adverse events before and after the Hemo Pause implementation
| Pre-checklist |
Post-checklist |
P-value | |||
|---|---|---|---|---|---|
| N | % | N | % | ||
| Hemodialysis treatments | 799 | 757 | |||
| Pre-weights missed | 1 | 0 | 12 | 2 | 0.01 |
| Post-weights missed | 18 | 2 | 27 | 4 | 0.13 |
| Pre-blood pressures missed | 452 | 57 | 385 | 51 | 0.03 |
| Post-blood pressures missed | 320 | 40 | 276 | 36 | 0.16 |
| Incorrect hemodialysis prescription | 16 | 2 | 13 | 2 | 0.71 |
| Missed hemodialysis session | 24 | 3 | 24 | 3 | 0.88 |
| Missed medication administration | 8 | 1 | 14 | 2 | 0.19 |
| Missed physician orders | 8 | 1 | 5 | 1 | 0.58 |
| More than two cannulation attempts | 0 | 0 | 0 | 0 | N/A |
| Needle dislodgements | 0 | 0 | 0 | 0 | N/A |
| Access infections | 0 | 0 | 0 | 0 | N/A |
| Access interventions | 2 | 0 | 2 | 0 | 1.00 |
| Blood transfusions | 8 | 1 | 2 | 0 | 0.11 |
| Falls | 0 | 0 | 0 | 0 | N/A |
| Systolic blood pressure <90 mmHg during hemodialysis | 5 | 1 | 22 | 3 | 0.01 |
| Hospitalizations | 3 | 0 | 1 | 0 | 0.62 |
| Deaths | 0 | 0 | 0 | 0 | N/A |