American Journal of Kidney Diseases
Volume 53, Issue 1 , Pages 99-106 , January 2009

Effect of a Vascular Access Nurse Coordinator to Reduce Central Venous Catheter Use in Incident Hemodialysis Patients: A Quality Improvement Report

  • Kevan Roy Polkinghorne, MBChB, MClinEpi, FRACP, PhD

      Affiliations

    • Department of Nephrology, Monash Medical Centre, Clayton, Victoria, Australia
    • Monash University, Monash Medical Centre, Clayton, Victoria, Australia
    • Corresponding Author InformationAddress correspondence to Kevan Roy Polkinghorne, MBChB, MClinEpi, FRACP, PhD, Department of Nephrology, Monash Medical Centre, 246 Clayton Rd, Clayton, Melbourne, Victoria 3168, Australia
    • ,
  • Mechelle Seneviratne, RN, BN, GradDipHealthSci

      Affiliations

    • Department of Nephrology, Monash Medical Centre, Clayton, Victoria, Australia
    • ,
  • Peter G. Kerr, MBBS, FRACP, PhD

      Affiliations

    • Department of Nephrology, Monash Medical Centre, Clayton, Victoria, Australia
    • Monash University, Monash Medical Centre, Clayton, Victoria, Australia

Received 11 March 2008 ,Accepted 24 June 2008.

References 

  1. Dhingra RK, Young EW, Hulbert-Shearon TE, Leavey SF, Port FK. Type of vascular access and mortality in U.S. hemodialysis patients. Kidney Int. 2001;60:1443–1451
  2. Manns B, Tonelli M, Yilmaz S, et al. Establishment and maintenance of vascular access in incident hemodialysis patients: A prospective cost analysis. J Am Soc Nephrol. 2005;16:201–209
  3. Pastan S, Soucie JM, McClellan WM. Vascular access and increased risk of death among hemodialysis patients. Kidney Int. 2002;62:620–626
  4. Polkinghorne KR, McDonald SP, Atkins RC, Kerr PG. Vascular access and all-cause mortality: A propensity score analysis. J Am Soc Nephrol. 2004;15:477–486
  5. US Renal Data System. Excerpts from the USRDS 2007 Annual Data Report. Am J Kidney Dis. 2008;51(suppl 1):S1–S320
  6. Fistula First National Vascular Access Improvements Initiative. http://www.fistulafirst.org/Accessed March 7, 2008
  7. Centers for Medicare & Medicaid Services. 2005 Annual Report: End Stage Renal Disease Clinical Performance Measures Project. Am J Kidney Dis. 2006;48(suppl 2):S1–S106
  8. Mendelssohn DC, Ethier J, Elder SJ, Saran R, Port FK, Pisoni RL. Haemodialysis vascular access problems in Canada: Results from the Dialysis Outcomes and Practice Patterns Study (DOPPS II). Nephrol Dial Transplant. 2006;21:721–728
  9. Moist LM, Chang SH, Polkinghorne KR, McDonald SP. Trends in hemodialysis vascular access from the Australia and New Zealand Dialysis and Transplant Registry (ANZDATA) 2000 to 2005. Am J Kidney Dis. 2007;50:612–621
  10. Wensing M, Klazinga N, Wollersheim H, Grol R. Organisational and financial interventions. In:  Grol R,  Wensing W,  Eccles M editor. Improving Practice: A Systematic Approach to Implementation of Change in Patient Care. Edinburgh, UK: Elsevier; 2005;p. 173–184
  11. Wensing M, Wollersheim H, Grol R. Organizational interventions to implement improvements in patient care: A structured review of reviews. Implement Sci. 2006;1:2
  12. Polkinghorne KR, McDonald SP, Atkins RC, Kerr PG. Epidemiology of vascular access in the Australian hemodialysis population. Kidney Int. 2003;64:1893–1902
  13. Owen JE, Walker RJ, Edgell L, et al. Implementation of a pre-dialysis clinical pathway for patients with chronic kidney disease. Int J Qual Health Care. 2006;18:145–151
  14. Ackad A, Simonian GT, Steel K, et al. A journey in reversing practice patterns: A multidisciplinary experience in implementing DOQI guidelines for vascular access. Nephrol Dial Transplant. 2005;20:1450–1455
  15. Glazer S, Diesto J, Crooks P, et al. Going beyond the Kidney Disease Outcomes Quality Initiative: Hemodialysis access experience at Kaiser Permanente Southern California. Ann Vasc Surg. 2006;20:75–82
  16. Grol R, Grimshaw J. From best evidence to best practice: Effective implementation of change in patients' care. Lancet. 2003;362:1225–1230
  17. Bosch M, van der Weijden T, Wensing M, Grol R. Tailoring quality improvement interventions to identified barriers: A multiple case analysis. J Eval Clin Pract. 2007;13:161–168

 Originally published online as doi:10.1053/j.ajkd.2008.06.026 on September 22, 2008.

PII: S0272-6386(08)01176-1

doi: 10.1053/j.ajkd.2008.06.026

American Journal of Kidney Diseases
Volume 53, Issue 1 , Pages 99-106 , January 2009

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