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Calidad del modelo de gestión actual del acceso vascular en los pacientes en hemodiálisis

Keywords: quality indicators, vascular access, hemodialysis.

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backgrounds: the follow-up of the quality indicators is associated with a great survival, less need of hospitalization and less hemodialysis costs. objective: to assess the quality of the current management form of the vascular access in hemodialysis patients. methods: a prospective and descriptive study was conducted in a universe including the patients incorporated into the hemodialysis plan of the "hermanos ameijeiras: clinical surgical hospital from june, 2010 to may, 2011. authors assessed the indicators of the care quality of vascular access for hemodialysis taking as reference the recommendation of the group of quality management of the spanish society of nephrology and the guidelines k/doqi. results: the temporary vascular access is related to the background of infections from vascular access. it is significant the relationship between the type of vascular access, the backgrounds of infections related to it and mortality. assessing the quality parameters it was noted that the percentage of incident patients with standing vascular access was of 37,5 %. the yearly rate of thrombosis of arteriovenous fistula was of 0,12. the percentage of infections in tunneled catheters and that of the arteriovenous fistula in one year were very high to that recommended. there was not a report on incidence of complications related to catheter insertion. conclusions: it is necessary the transformation of the current quality management system, the increase of the control on the activity performed and the implementation of corrective actions.


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