Focused vascular access education to reduce the use of chronic tunneled hemodialysis catheters: results of a network quality improvement initiative.

@article{Kulawik2009FocusedVA,
  title={Focused vascular access education to reduce the use of chronic tunneled hemodialysis catheters: results of a network quality improvement initiative.},
  author={Deuzimar Kulawik and Jeffrey J. Sands and Kelly Boles Mayo and Mary Fenderson and Jimmie R. Hutchinson and Cindy Woodward and Sally A. Gore and Arif Asif},
  journal={Seminars in dialysis},
  year={2009},
  volume={22 6},
  pages={
          692-7
        }
}
Tunneled hemodialysis catheters (TDCs) carry the highest mortality risk for chronic hemodialysis patients of any access modality. Recent data have emphasized that mortality risk decreases when these devices are discontinued. Herein, we present the results of a gap-reduction assisted catheter elimination strategy that Network 7 employed as its quality improvement initiative to reduce the use of TDCs. Hemodialysis facilities with high catheter rates (>90 days) were identified. Interventions… CONTINUE READING
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