Reasons for Decreased Effective Time on Dialysis

Reasons for Decreased Effective Time on Dialysis

Modified from Parker, T. F. (1992). Trends and concepts in the prescription and delivery of dialysis in the United States. Seminars in Nephrology, 12, 267–275.

PATIENT-RELATED REASONSSTAFF-RELATED REASONSMECHANICAL REASONS
Late start (patient tardy)• Early sign off• With consent (i.e., symptoms)• Against advice (i.e., social)Medical complications (e.g., hypotension)No showLate start (staff tardy)Wrong patient taken offTime calculated incorrectlyTime on/off read incorrectlyClinical deficiencies (i.e., no time registered)Premature discontinuation for unit convenience• Scheduling conflicts• EmergenciesIncorrect assumptions of continuous treatment time (e.g., failure to account for interruptions of treatment such as repositioning needles or accidental removal)Inaccurate assessment of effective time by using variable timepieces
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