Medication Safety in Dialysis Care

Carol Lee; Katie Bam; Andrea M Bernard; Kimberly Livingston; Patricia B McCarley; Chance Mysayphonh; John W Larkin; Jeffrey L Hymes

Medication Safety in Dialysis Care

Nephrol Nurs J. 2023 Sep-Oct;50(5):389-397.

Authors

Carol Lee^{1

2}, Katie Bam³, Andrea M Bernard^{4

2}, Kimberly Livingston^{4

2}, Patricia B McCarley^{5

6}, Chance Mysayphonh⁷, John W Larkin⁸, Jeffrey L Hymes⁹

Affiliations

¹ Senior Director Patient Safety, Fresenius Medical Care, Waltham, MA.
² member of ANNA's Southern New England Chapter.
³ former Senior Manager Patient Safety, Fresenius Medical Care, Waltham, MA.
⁴ Senior Manager Clinical Services Initiatives, Fresenius Medical Care, Waltham, MA.
⁵ Vice President Strategic Quality Operations, Fresenius Medical Care, Waltham, MA.
⁶ member of ANNA's Music City Chapter.
⁷ Director Clinical Pharmacy Initiatives, Fresenius Medical Care, Waltham, MA.
⁸ Collaborations Lead, Fresenius Medical Care, Waltham, MA.
⁹ Executive Vice President, Global Head of Clinical Affairs, and Chief Medical Officer Care Delivery, Fresenius Medical Care, Waltham, MA.

PMID: 37983547

Abstract

The outpatient dialysis setting presents unique challenges in the medication process. Dialysis staff conduct all steps in the medication process, including transcribing and verifying orders, preparing and administering medications, and monitoring for therapeutic and adverse effects. When addressing best medication practices, consideration should be given to education and resources provided to staff. This article explores the multiple strategies taken by a national dialysis network to support clinical staff and improve patient safety.

Keywords: administration; dialysis; drug preparation; education; medication; resources; safety.

MeSH terms

Humans
Medication Errors* / prevention & control
Patient Safety
Renal Dialysis*