A Systematic Literature Review of Safety Culture in Hemodialysis Settings

Abstract

Salma Albreiki,1 Alaa Alqaryuti,1 Tareq Alameri,1 Amani Aljneibi,1 Mecit Can Emre Simsekler,1 Siddiq Anwar,2 Krista L Lentine3 1Department of Industrial and Systems Engineering, Khalifa University of Science and Technology, Abu Dhabi, 127788, United Arab Emirates; 2Sheikh Shakhbout Medical City, Abu Dhabi, 10001, United Arab Emirates; 3Saint Louis University Center for Abdominal Transplantation, St. Louis, MO, USACorrespondence: Mecit Can Emre Simsekler, Khalifa University of Science and Technology, Department of Industrial and Systems Engineering, P.O. Box 127788, Abu Dhabi, United Arab Emirates, Tel [phone], Fax [phone], Email [email protected]: Safety culture is an important aspect of quality in healthcare settings. There are many risks that patients can encounter in hemodialysis settings one of which is the infection risks due to the regular need to access bloodstreams using catheters and needles. Implementation of prevention guidelines, protocols and strategies that reinforce safety culture excellence are essential to mitigate risks. The objective of this study was to identify and characterize the main strategies that enhance and improve patient safety culture in hemodialysis settings.Methods: Medline (via PubMed) and Scopus were searched from 2010 to 2020 in English. Terms defining safety culture, patient safety were combined with the term hemodialysis during the search. The studies were chosen based on inclusion criteria.Results: A total of 17 articles reporting on six countries were identified that met inclusion criteria following the PRISMA statement. From the 17 papers, practices that were successfully applied to improve safety culture in hemodialysis settings included (i) training of nurses on the technologies used in hemodialysis treatment, (ii) proactive risk identification tools to prevent infections (iii) root cause analysis in evaluating the errors, (iv) hemodialysis checklist to be used by the dialysis nurses to reduce the adverse events, and (v) effective communication and mutual trust between the employee and leadership to support no-blame environment, and improve the safety culture.Conclusion: This systematic review provided significant insights on the strategies that healthcare safety managers and policy makers can implement to enhance safety culture in hemodialysis settings.Keywords: safety culture, patient safety, kidney care, hemodialysis, quality improvement, medical error

Keywords

• safety culture
• patient safety
• kidney care
• hemodialysis
• quality improvement
• medical error