2.50
Hdl Handle:
http://hdl.handle.net/10755/152532
Type:
Presentation
Title:
Continuous Quality Improvement in the Acute Dialysis Setting
Abstract:
Continuous Quality Improvement in the Acute Dialysis Setting
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Ilumin, Margarita Nilda Posadas, MSN, RN, CNN
P.I. Institution Name:University of California, Davis Health System
Title:Nurse Manager
When the acute dialysis program became an in-house operation, the development and implementation of a CQI program was a priority. Quality indicators were identified. Clotting in the dialyzer, treatment delays and catheter-related infections were tracked. Based on our CQI data, it was clear from the beginning, that there was a high incidence of dialyzer clotting particularly on our patients on Extended Daily Dialysis (EDD) who were on Heparin-free dialysis. Heparin-free dialysis is prescribed for high bleeding risk patients and for patients with heparin-induced thrombocytopenia. There was a need to explore an effective way to maintain patency and longevity of the extracorporeal circuit as clotting not only results to blood loss but to loss of treatment time which affects the efficiency and adequacy of the dialysis therapy. Our policy on no-Heparin dialysis was modified. Hourly saline flushes was changed to a more aggressive every-15-to-30 minute flushes. In addition, ôheparin rinseö or priming the extracorporeal circuits with 5000 units of heparin added to 1-liter bag, except for HIT positive patients, was immediately implemented. After 2 months, clotting in the dialyzer on Extended Daily Dialysis was significantly reduced from 24% to 2%. Conclusion: CQI in the acute dialysis setting is critical for a continuous cycle of evaluating and improving patient outcomes. Through the process of CQI, we were able to identify dialyzer clotting with our EDD as a quality of care problem and implemented a solution that was effective.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleContinuous Quality Improvement in the Acute Dialysis Settingen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152532-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Continuous Quality Improvement in the Acute Dialysis Setting</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ilumin, Margarita Nilda Posadas, MSN, RN, CNN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of California, Davis Health System</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Manager</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mpilumin@yahoo.com</td></tr><tr><td colspan="2" class="item-abstract">When the acute dialysis program became an in-house operation, the development and implementation of a CQI program was a priority. Quality indicators were identified. Clotting in the dialyzer, treatment delays and catheter-related infections were tracked. Based on our CQI data, it was clear from the beginning, that there was a high incidence of dialyzer clotting particularly on our patients on Extended Daily Dialysis (EDD) who were on Heparin-free dialysis. Heparin-free dialysis is prescribed for high bleeding risk patients and for patients with heparin-induced thrombocytopenia. There was a need to explore an effective way to maintain patency and longevity of the extracorporeal circuit as clotting not only results to blood loss but to loss of treatment time which affects the efficiency and adequacy of the dialysis therapy. Our policy on no-Heparin dialysis was modified. Hourly saline flushes was changed to a more aggressive every-15-to-30 minute flushes. In addition, &ocirc;heparin rinse&ouml; or priming the extracorporeal circuits with 5000 units of heparin added to 1-liter bag, except for HIT positive patients, was immediately implemented. After 2 months, clotting in the dialyzer on Extended Daily Dialysis was significantly reduced from 24% to 2%. Conclusion: CQI in the acute dialysis setting is critical for a continuous cycle of evaluating and improving patient outcomes. Through the process of CQI, we were able to identify dialyzer clotting with our EDD as a quality of care problem and implemented a solution that was effective.</td></tr></table>en_GB
dc.date.available2011-10-26T11:39:48Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:39:48Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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