title: A model for improving quality in nephrology settings.
abstract: 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.
authors.affiliation: Dialysis Unit, Federal University of São Paulo, Brazil.
authors.forename: Silvia Regina
authors.initials: SR
authors.lastname: Manfredi
authors.forename: Maria Eugênia
authors.initials: ME
authors.lastname: Canziani
authors.forename: Sergio Antonio
authors.initials: SA
authors.lastname: Draibe
authors.forename: Maria Aparecida
authors.initials: MA
authors.lastname: Dalboni
authors.forename: Maria Claudia
authors.initials: MC
authors.lastname: Andreolli
authors.forename: Renato
authors.initials: R
authors.lastname: Watanabe
authors.forename: Miguel
authors.initials: M
authors.lastname: Cendoroglo
mesh_terms: 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*