Continuous quality improvement in ESRD : The role of networks, the United States renal data system, and facility-specific reports.
Strategies for Influencing Outcomes in Pre-ESRD and ESRD Patients. Special Conference. Washington, DC, USA, 1998/06/12.
End-stage renal disease (ESRD) outcome improvement involves many different private and governmental entities.
Networks have fulfilled a pivotal role in ESRD quality improvement by facilitating the change from quality assurance (QA) to continuous quality improvement (CQI) methodology, providing the collection and dissemination of outcome measures to facilities and developing quality improvement projects (QIPs) that interface directly with facilities.
Improving outcomes in hemodialysis is generally limited to adequacy of hemodialysis and anemia management.
Opportunities in peritoneal dialysis, nutrition, vascular access, and quality-of-life outcomes persist.
Interaction between facilities and Medical Review Boards (MRBs) using workshops, site visits, and facility report cards can provide continuing ESRD outcome improvement.
Every facility has unique people, procedures, and equipment producing their processes of care.
Therefore, a certain amount of autonomy is required to encompass individual variation.
Quality improvement methodology, although less rigorous than traditional outcome research, provides efficient and effective intervention when a rapid response is required to improve clinical outcomes.
The two methods are not mutually exclusive but require distinct methodology to accomplish.
Mots-clés Pascal : Insuffisance rénale, Stade terminal, Homme, Etats Unis, Amérique du Nord, Amérique, Surveillance sanitaire, Conception, Assurance qualité, Recherche scientifique, Etat actuel, Appareil urinaire pathologie, Rein pathologie
Mots-clés Pascal anglais : Renal failure, Terminal stage, Human, United States, North America, America, Sanitary surveillance, Design, Quality assurance, Scientific research, State of the art, Urinary system disease, Kidney disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0109477
Code Inist : 002B30A01C. Création : 16/11/1999.