Authors: (including presenting author): :
Chui SK, Li Kan, Wong Ha, Fung ML, Ng CY, Lai WS, Ho HS, Lam YF, Ng ML, Chow CC, Wong CK
Affiliation: :
Department of Medicine, Pamela Youde Nethersole Eastern Hospital
Keyword 1: :
“Home Safety Tool Box"
Keyword 2: :
Home Haemodialysis(HHD) Training
Keyword 4: :
Bloodline holder
Keyword 5: :
Fistula needle holder
Introduction: :
Home haemodialysis (HHD) offers flexibility and improves quality of life for end-stage renal disease(ESRD) patients. Utilization of a well equipped “Home Safety Tool Box" is essential in emergency interventions of blood leakage and contamination associated with needle dislodgement and circuit disconnections, thereby enhancing home safety in HHD. It contains HemoDialert, a critical moisture sensor, which processes real-time detection on blood leak. Fistula needle holder and arm splint securely stabilize needles and prevent dislodgement. Bloodline holder facilitates bloodline connection by single-hand operation.
Objectives: :
This study evaluates the effectiveness of “Home Safety Tool Box” in enhancing the safety and efficacy of HHD for patients. It involved a sample of 12 patients undergoing home haemodialysis training program in PYNEH.
Methodology: :
From January 2023 to May 2025, the “Home Safety Tool Box” has been implemented and continuously integrated into the HHD training program. The implementation process included: 1. Occupational Therapist was referred for custom-made assistive devices for individual patient 2. Device-specific training and hands-on demonstrations on devices application 3. Provided immediate feedback, highlight strengths and areas for improvement 4. Complianceassessmentwithregularfollow-upondevicemodification 5. Patientsatisfactionsurveystocollectfeedback
Result & Outcome: :
A total of 12 patients were recruited. 100% responsive engagement, 97.3% satisfaction rate, 100% increased self-confidence with home compliance rates ranged from 83.3% to 100%. No blood leakage incidents were reported. The pilot study demonstrated that the implementation of “Home Safety Tool Box" significantly enhanced patient safety, compliance, and satisfaction in HHD settings. HemoDialert blood sensor provided reliable real-time blood leakage detection, reducing the risk of undetected blood loss. Additionally, the needle holder and arm splint securely stablized needles and bloodlines, preventing needle dislodgement and contamination during HHD treatment. Receiving HD safely at home can improve patients’ access to care and reduce the burden on healthcare facilities. On top, HHD enhances community resilience during disasters or public health emergencies. Future studies should focus on evaluating the long-term usability and cost-effectiveness of the “Home Safety Tool Box” to support its broader adoption.
