[Proactive approach for the patient safety in the extracorporeal blood purification treatments in nephrology]

Latent, systemic, organizational and clinical errors may impend on a single clinical reality that is considered safe. These errors may lead to the occurrence of a critical event with possible damage to the patient. The patients' greater clinical complexity, in the field of AKI or CKD, requires a multidisciplinary approach that involves nephrologists and other specialists in the diagnostic-therapeutic-rehabilitative path requiring the administration of personalized extracorporeal blood purification treatments. In consideration of the comorbidities of these patients, and their increasing management complexity, the Patient Safety becomes a priority objective in these therapeutic pathways. For all caregivers, it is therefore necessary to be able to acquire a series of tools suitable for the analysis of the clinical risk present in each individual nephrological realities in order to introduce a series of measures and tools for the analysis and prevention of possible errors that can determine an event. The aim of this paper is to introduce the problem of patient safety in the extracorporeal blood purification treatments for the initial analysis of local clinical risks, and the prevention of errors in the clinical practice in nephrology by introducing specific procedures and check lists. This work is addressed to all the caregivers involved in the Nephrology care.