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Desarrollo e implementación de una vía clínica a los pacientes que inician la hemodiálisis de forma programada

DOI: 10.4321/S1139-13752011000100003

Keywords: clinical pathways, dialysis, care quality, care, chronic renal insufficiency.

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a clinical pathway aims to be an institutionalized instrument, where all the professionals of the service know at all times the activities and actions they have to carry out, the time this care activity lasts, and users and relatives know right from the start all the information on the care they will be given. in order to design a clinical pathway, a multidisciplinary working group was formed which drew up an instrument made up of: ? a time chart detailing by day the activities of all the professionals involved in the clinical pathway, and specifying other important aspects such as complementary tests, diet and medication. ? variance sheet. where both deviations from the pathway and the actions realized or their justification are detailed. ? information sheet for the patient and/or relative. it includes a series of illustrations that inform the patient of the most common evolution of the process. it is a simplified graphic version of the time chart so that it can be easily understood by the patient. ? patient and/or relative satisfaction survey. this is given to the patient so that he or she can give his or her opinion anonymously on the care received. it includes questions on the information received, care, catering aspects, etc. we have considered the entire team, and reassessed the pathway when we reached 10 patients, in order to make modifications or determine areas for improvement.


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