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Incorrect Dialyzer or Dialyzing Solution Did You Know?
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Incorrect Dialyzer or Dialyzing Solution

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- Incorrect Dialyzer or Dialyzing Solution - Non-Adherence to Procedures
- Patient Falls - Hand Hygiene
- Medication Omission or Errors    
FACT
SOURCE
Nearly two-thirds of professionals report that the wrong dialyzing solution has been set-up for a patient within the past three months.
Health and Safety Survey to Improve Patient Safety in End Stage Renal Disease, page 18

Patients who are involved in their dialysis care are less likely to indicate that they have had the wrong dialyzing set up for their treatment than those who are uninvolved in their care (80% vs. 46%, respectively). Thus increasing patient involvement in their dialysis care may provide an approach to safeguard against solution errors.
Health and Safety Survey to Improve Patient Safety in End Stage Renal Disease, page 18

Based on a confidential Network Chairman Patient Safety Study (2007) with both patient and professional responses, 17% patients reported problems with settings on their dialysis machine, 3% had the wrong dialyzer set up for treatment and 2% had the wrong dialyzing solution set up.
Health and Safety Survey to Improve Patient Safety in End Stage Renal Disease, page 10

Over 80% of dialysis centers have a reuse program, but reuse varies according to facility type. Reuse is the highest in freestanding and for-profit facilities reflecting the economic factor in these operations. Reuse is also higher in large versus smaller facilities. The frequency of reuse highlights the need to insure patients are receiving the correct dialyzer. Brown C. Current Opinion and Controversies of Dialyser Reuse. Saudi J Kidney Dis Transpl [serial online] 2001 [cited 2008 Oct 28];12:352-63. Available from: http://www.sjkdt.org/text.asp?2001/12/3/352/33559

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