Nephrology nursing consult: case study. Quality assurance works.
The printout of data revised and organized according to the new tracking system was presented to the multidisciplinary team and revised from their suggestions and requests. The system in question was identified as having a statistically significant higher rate of infection than the other two in use, and the medical director agreed to eliminate this system from patient choice options. The tracking tool was then refined at the suggestion of the QA coordinator to identify repeat offenders, and the head nurse developed a special retraining program for these patients. The tool was further refined to separate new cases of peritonitis from exacerbations of continuing infection. Plans are now being made to evaluate the effectiveness of retraining on an individual basis so that viable options may be offered to those patients in whom retraining seems ineffective. QA works!
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D003428:Cross Infection / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D015994:Incidence; D009730:Nursing Assessment; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects / Q000295:instrumentation / Q000592:standards*; D010538:Peritonitis / Q000453:epidemiology / Q000209:etiology*; D011785:Quality Assurance, Health Care