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Safe Patient Care in CKD: Core Curriculum 2025

Prasheen Shah1, Hassan Mahmoud1, Grant Oakley1

  • 1Division of Nephrology and Transplantation, Department of Medicine, Maine Medical Center, Portland, Maine; School of Medicine, Tufts University, Boston, Massachusetts.

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
|July 7, 2025
PubMed

Insights

Patient safety in chronic kidney disease (CKD) is crucial due to complex care needs. Nephrologists require expertise in preventing harm, managing medications, and utilizing technology to improve care quality and safety for CKD patients.

Area of Science:

  • Nephrology
  • Healthcare Quality and Safety

Background:

  • Healthcare quality and safety are critical, yet complete prevention of patient harm remains a challenge.
  • Patients with chronic kidney disease (CKD) face elevated risks for adverse events due to illness complexity and impaired kidney function affecting treatment choices.
  • The evolving landscape of therapeutics for conditions like diabetic nephropathy and anemia in CKD necessitates heightened attention to medication safety.

Purpose of the Study:

  • To outline essential nephrologist competencies for ensuring patient safety in the context of chronic kidney disease.
  • To highlight the unique safety challenges faced by patients with CKD, including medication, diagnostic, and procedural safety.
  • To emphasize the role of technological advancements and patient engagement in mitigating errors and improving safety.

Main Methods:

  • This Core Curriculum addresses essential nephrologist competencies.
  • It reviews principles and methods for evaluating harm and near-harm events.
  • It discusses the influence of declining kidney function on diagnostic studies, therapies, and procedural safety.

Main Results:

  • Complete prevention of unintended harm in healthcare is currently unattainable.
  • Nephrologists need specialized knowledge of patient safety principles to manage risks in CKD.
  • Technological applications show promise in reducing human error and enhancing patient partnership in care.

Conclusions:

  • Maintaining patient safety in chronic kidney disease requires specialized nephrologist competency.
  • Addressing medication, radiologic imaging, and procedural safety is paramount for CKD patients.
  • Leveraging technology and patient engagement are key strategies for improving safety outcomes.
Keywords:
Patient safetychronic kidney disease

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