A model for improving quality in nephrology settings.
Continuous quality improvement (CQI) programs have been instituted in many health care organizations over the last decade. PDCA, a tool composed of planning (P), doing (D), checking (C), and acting (A), has proved to be very useful in the CQI problem-solving process. The use of the PDCA tool described in this article resulted in the successful resolution of a hepatitis B outbreak in a Brazilian hemodialysis population and can serve as a model methodology for improving care in nephrology settings.
Manfredi
Silvia Regina
SR
Dialysis Unit, Federal University of São Paulo, Brazil.
Canziani
Maria Eugênia
ME
Draibe
Sergio Antonio
SA
Dalboni
Maria Aparecida
MA
Andreolli
Maria Claudia
MC
Watanabe
Renato
R
Cendoroglo
Miguel
M
D001938:Brazil / Q000453:epidemiology; D004196:Disease Outbreaks / Q000517:prevention & control; D006509:Hepatitis B / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D015994:Incidence; D017146:Models, Organizational; D009398:Nephrology / Q000458:organization & administration*; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration* / Q000706:statistics & numerical data; D015397:Program Evaluation; D016016:Proportional Hazards Models; D006435:Renal Dialysis / Q000009:adverse effects / Q000592:standards* / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors; D017749:Total Quality Management / Q000379:methods*