An analysis of countermeasures regarding patient safety for incidents associated 
with blood purification in critical care

Abstract

In hemodialysis units, incidents associated with conventional blood purification therapies have been comprehensively documented through nationwide surveys, which have informed the creation of corresponding safety manuals. However, there is a dearth of detailed reports on incidents involving acute blood purification therapies for critically ill patients, highlighting a significant gap in safety measures. At our institution, we have undertaken a thorough analysis of incidents related to acute blood purification and implemented safety protocols based on these insights. Consequently, despite concerns regarding an uptick in incidents due to evolving work environments, the incidence of level ≥3a incidents associated with acute blood purification has declined over the past 5 years. This underscores the efficacy of strategies such as task standardization, process visualization, simplification, and interdisciplinary collaboration in mitigating incidents in acute blood purification therapy.