Research Article

Design of Breakdown and Checklist for Continuous Renal Replacement Therapy

Table 2

Results of the second round of consultation.

IndicatorsValue of importanceCoefficient of variationFull-score rate (%)

Patient information5.00 ± 0.000.000100
Basic information5.00 ± 0.000.000100
Diagnosis5.00 ± 0.000.000100
Evaluation prior to operation4.33 ± 0.620.14266.67
CBP blood pathway4.73 ± 0.590.12580.00
Coagulation indicators prior to operation4.93 ± 0.260.05287.77
Treatment mode4.87 ± 0.350.07280.00
Mode selection4.67 ± 0.490.10566.67
Filter selection4.60 ± 0.630.13766.67
Pipeline preflushing4.47 ± 0.640.14353.54
Selection of preflush4.40 ± 0.830.18860.00
Preparation of preflush4.53 ± 0.740.16466.67
Anticoagulation method4.47 ± 0.740.16660.00
Anticoagulation with heparin4.80 ± 0.410.08680.00
Anticoagulation with 4% citric acid4.87 ± 0.350.07286.67
Replacement fluid4.27 ± 0.590.13933.68
Rate of front replacement fluid4.87 ± 0.350.07260.00
Rate of rear replacement fluid4.80 ± 0.410.08680.00
Rate of dialysate4.00 ± 0.920.23140.00
Plasma exchange4.40 ± 0.740.16740.00
Plasma separation rate4.87 ± 0.350.07286.67
Blood flow rate4.53 ± 0.640.14160.00
Initial blood flow rate4.33 ± 0.720.16740.00
Target blood flow rate4.27 ± 0.800.18740.00
Fluid balance4.33 ± 0.900.20860.00
The set ultrafiltration volume4.87 ± 0.350.07286.67
Target dehydration volume5.00 ± 0.000.000100
Detection indicators4.60 ± 0.510.11060.00
APTT-INR4.13 ± 0.830.20240.00
Arterial blood gas analysis4.20 ± 0.680.16140.00
Others4.93 ± 0.260.05290.00
5% sodium bicarbonate4.73 ± 0.460.09786.67
10% potassium chloride4.87 ± 0.350.07290.00
5% CaCl24.87 ± 0.350.07290.00
10% sodium chloride4.67 ± 0.620.13286.67
Preparation prior to operation4.20 ± 0.410.09940.00
Checking of doctor’s advice5.00 ± 0.000.000100
Patient preparation4.67 ± 0.490.10566.67
Preparation of materials4.60 ± 0.630.13766.67
Preparation of drugs4.80 ± 0.410.08680.00
Other preparations4.47 ± 0.740.16660.00
Evaluation of hemofiltration tube4.80 ± 0.410.08680.00
Pipeline preparation4.73 ± 0.590.12580.00
Checking tight type of the AVF tube4.93 ± 0.260.05290.0
Installing the pipeline according to the showed order4.27 ± 0.960.22730.00
Checking the four pressure monitoring sensors and all clamps4.60 ± 0.510.11060.00
Setting the preflushing volume and the related parameters5.00 ± 0.000.000100
Adjusting the fluid level of the arteriovenous pot and removing the air bubbles from the filter4.47 ± 0.640.14360.00
In the case of preflushing outside the membrane, check the direction of the filter, and reverse it if necessary4.84 ± 0.350.07286.67
Operation process4.48 ± 0.570.13386.67
Checking the quality of preflushing, and making sure that it has been completed4.41 ± 0.380.09060.00
Checking the smoothness of the hemofiltration tube4.64 ± 0.520.11390.00
Pressing the button “Stop” before introducing the blood to make sure that the pump is stopped and the patient connection interface is displayed4.04 ± 0.740.18440.00
Observing the hemodynamic changes before and during the connection4.14 ± 0.580.14760.00
Adjusting the replacement dialysis volume, blood flow rate, ultrafiltration volume, and other parameters5.00 ± 0.000.000100
Properly fixing the hemofiltration tube4.83 ± 0.310.06660.00
Treatment process4.12 ± 0.350.08286.67
Observing the changes in heart rate, blood pressure, and hemodynamic stability of each patient4.23 ± 0.270.06490.00
Checking whether there are bleeding spots on the skin and mucosa and evaluating the bleeding and coagulation of the patients4.37 ± 0.320.07290.00
Paying attention to the evaluation of the dehydration amount, urine volume, and water intake4.21 ± 0.510.12480.00
Paying attention to the changes in various assay values4.14 ± 0.350.08686.67
Evaluating patients’ tolerance and whether sedation or restraint is required4.45 ± 0.320.07260.00
Dealing with various alarms in time and paying attention to the changes of various parameters5.00 ± 0.000.000100
Paying attention to the conditions of the skin to prevent pressure sores4.12 ± 0.430.10060.00
Paying attention to the conditions of edema of the lower extremity to prevent thrombus of lower extremity veins4.30 ± 0.300.07286.67
Assisting patients in proper bed movement to prevent thrombus of lower extremity veins3.85 ± 0.710.18040.00
Termination4.55 ± 0.540.12660.00
Indications after termination4.81 ± 0.240.05080.00
Doctor’s advice after termination5.00 ± 0.000.00100
Observation of the changes in heart rate and blood pressure of the patient4.84 ± 0.110.02090.00
Prompt reminding of adjusting the amount of the pumped insulin and antibiotics4.31 ± 0.320.12640.00
Final treatment4.51 ± 0.530.07060.00