title: [Indicators for evaluating the vascular access of users in hemodialysis].
abstract: The purpose of this study was to develop reliable assessment instruments to measure hemodialysis vascular access. The design of healthcare indicators involved an indepth-analysis of vascular access practices in hemodialysis and their underlying theoretical rationale, and was grounded on Donabedian's framework. Four indicators were selected: performance of temporary double-lumen catheter, maintenance of temporary double-lumen catheter, monitoring of arteriovenous fistula and complications of arteriovenous fistulas. The first three are process-oriented while the last one relate to outcomes. Data was collected in October and November 2008 using a tree-part questionnaire, thus divided: assessment of the indicators' operations manual, assessment of health attributes of the indicators and assessment of each of the components. The validation of the indicators was carried out by a panel of nine internationally renowned experts in nephrology. All indicators were validated by the panel, with at least a 75% favorable consensus. It is believed that the use of this instrument contributes for evaluation and improvement of quality in hemodialysis services.
authors: Escola de Enfermagem, Universidade de São Paulo, Vila Velha, ES, Brazil. andressagnicole@yahoo.com.br
authors: Andressa Garcia
authors: AG
authors: Nicole
authors: Daisy Maria Rizatto
authors: DM
authors: Tronchin
mesh_terms: D000328:Adult; D001166:Arteriovenous Shunt, Surgical; D002404:Catheterization / Q000592:standards*; D006801:Humans; D019984:Quality Indicators, Health Care; D006435:Renal Dialysis / Q000379:methods*