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改进临床流程:一家透析机构的经验

Improving clinical processes: one dialysis facility's experiences.

作者信息

Bennett J, Cranford W, Staples B, Hartline P, Blondin J, Harter H, Rutherford W E

机构信息

Northeast Louisiana Dialysis Group, Monroe, LA, USA.

出版信息

Qual Manag Health Care. 1997 Fall;6(1):45-60. doi: 10.1097/00019514-199706010-00005.

DOI:10.1097/00019514-199706010-00005
PMID:10176408
Abstract

Northeast Louisiana Dialysis Center implemented continuous quality improvement (CQI) to improve the quality of care delivered to end stage renal disease (ESRD) patients treated by hemodialysis in their facility. The unit chose to address normalization of calcium and phosphorus and parathyroid hormone (PTH), anemia, nutrition, adequacy of dialysis and dialyzer reuse as well as performance benchmarks by the Health Care Financing Administration (HCFA) core indicators. This article presents the results obtained and the methodology used in this improvement effort. The article also presents nine principles the authors believe necessary for a successful CQI program.

摘要

路易斯安那州东北部透析中心实施了持续质量改进(CQI),以提高在其机构接受血液透析治疗的终末期肾病(ESRD)患者的护理质量。该科室选择解决钙、磷和甲状旁腺激素(PTH)的正常化、贫血、营养、透析充分性和透析器复用问题,以及医疗保健财务管理局(HCFA)核心指标的绩效基准。本文介绍了在这项改进工作中获得的结果和使用的方法。本文还介绍了作者认为成功的CQI计划所必需的九条原则。

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