• Medicine
  • Published in
    Nephrology nursing journal…
    2014

Vascular access team collaboration to decrease catheter rates in patients on hemodialysis: utilization of Kotter's change process.

@article{Mbamalu2014VascularAT,
  title={Vascular access team collaboration to decrease catheter rates in patients on hemodialysis: utilization of Kotter's change process.},
  author={Genevieve Mbamalu and Kimberly Whiteman},
  journal={Nephrology nursing journal : journal of the American Nephrology Nurses' Association},
  year={2014},
  volume={41 3},
  pages={
          283-7; quiz 288
        }
}
Long-term central venous catheter (CVC) use among patients on hemodialysis increases the risk of infection, morbidity, and mortality. This article describes the use of Kotter's process of change to establish a multidisciplinary vascular access team to facilitate the replacement of CVCs with long-term accesses. Through the implementation of vascular access teams and the execution of Kotter's eight-step process for leading change, hemodialysis clinics will have the tools needed to reduce CVC… CONTINUE READING