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A Quality Improvement Intervention to Improve the Efficiency of Arteriovenous Access Placement for Pre-Dialysis Inpatients.

Publication ,  Journal Article
Brahmbhatt, Y; Burke, P; Shinn, B; Menachem, B; Abai, B; Salvatore, D; Sorokin, R
Published in: Am J Med Qual
2019

The authors aimed to improve the rate of pre-dialysis arteriovenous (AV) access placement for hospitalized patients with advanced chronic kidney disease. The authors developed and implemented a protocol for hospitalized adult patients with an estimated glomerular filtration rate <20 mL/min to streamline the workflow for obtaining AV access. The protocol was piloted on 5 inpatient medical services over 3 months at 1 institution. Specific-Measurable-Achievable-Realistic-Timely (SMART) aims, Fishbone diagrams, Plan-Do-Study-Act cycles, and run charts were used to assess the process and outcomes of the intervention. There were 22 patients in the baseline group and 27 patients in the intervention group. Pre-dialysis AV access increased from 23% to 46%. Length of stay did not differ significantly between the baseline group (8.31 days) and the intervention group (8.4 days). Pathways can improve pre-dialysis AV access without significantly increasing length of stay.

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Published In

Am J Med Qual

DOI

EISSN

1555-824X

Publication Date

2019

Volume

34

Issue

4

Start / End Page

376 / 380

Location

Netherlands

Related Subject Headings

  • Renal Insufficiency, Chronic
  • Renal Dialysis
  • Quality Improvement
  • Middle Aged
  • Medical Audit
  • Male
  • Inpatients
  • Humans
  • Health Policy & Services
  • Female
 

Citation

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Brahmbhatt, Y., Burke, P., Shinn, B., Menachem, B., Abai, B., Salvatore, D., & Sorokin, R. (2019). A Quality Improvement Intervention to Improve the Efficiency of Arteriovenous Access Placement for Pre-Dialysis Inpatients. Am J Med Qual, 34(4), 376–380. https://doi.org/10.1177/1062860618810847
Brahmbhatt, Yasmin, Peter Burke, Brianna Shinn, Brandon Menachem, Babak Abai, Dawn Salvatore, and Rachel Sorokin. “A Quality Improvement Intervention to Improve the Efficiency of Arteriovenous Access Placement for Pre-Dialysis Inpatients.Am J Med Qual 34, no. 4 (2019): 376–80. https://doi.org/10.1177/1062860618810847.
Brahmbhatt Y, Burke P, Shinn B, Menachem B, Abai B, Salvatore D, et al. A Quality Improvement Intervention to Improve the Efficiency of Arteriovenous Access Placement for Pre-Dialysis Inpatients. Am J Med Qual. 2019;34(4):376–80.
Brahmbhatt, Yasmin, et al. “A Quality Improvement Intervention to Improve the Efficiency of Arteriovenous Access Placement for Pre-Dialysis Inpatients.Am J Med Qual, vol. 34, no. 4, 2019, pp. 376–80. Pubmed, doi:10.1177/1062860618810847.
Brahmbhatt Y, Burke P, Shinn B, Menachem B, Abai B, Salvatore D, Sorokin R. A Quality Improvement Intervention to Improve the Efficiency of Arteriovenous Access Placement for Pre-Dialysis Inpatients. Am J Med Qual. 2019;34(4):376–380.
Journal cover image

Published In

Am J Med Qual

DOI

EISSN

1555-824X

Publication Date

2019

Volume

34

Issue

4

Start / End Page

376 / 380

Location

Netherlands

Related Subject Headings

  • Renal Insufficiency, Chronic
  • Renal Dialysis
  • Quality Improvement
  • Middle Aged
  • Medical Audit
  • Male
  • Inpatients
  • Humans
  • Health Policy & Services
  • Female