title: Improving the quality of a peritoneal dialysis service: learning from experience.
abstract: BACKGROUND
  Different trends in peritoneal dialysis (PD) utilisation are observed all over the world. The primary aim of all of these dialysis programmes is to provide a quality service to the patients, which depends in part in careful planning of the structure and organisation of the dialysis unit.
  
  
  OBJECTIVE
  The aim of this paper is to review the available literature on the development and evaluation of PD programmes and to provide recommendations about how to start a new PD unit.
  
  
  RESULTS
  The essentials of a quality PD service are pre-dialysis education and timely start on dialysis, adequate training for the physicians and nurses, full support from complementary disciplines, effective programme size and continuous quality improvement strategies. Those working in PD should make maximum use of limited resources to improve their dialysis programme penetration as well as clinical outcomes.
authors: Faculty of Medicine, Department of Nephrology, Bezmialem Vakif University, Istanbul, Turkey. rkazancioglu@bezmialem.edu.tr
authors: Rumeyza
authors: R
authors: Kazancioglu
mesh_terms: D003299:Cooperative Behavior; D003906:Developing Countries; D006284:Health Plan Implementation / Q000458:organization & administration; D006436:Hemodialysis Units, Hospital / Q000458:organization & administration; D006801:Humans; D033183:Interdisciplinary Communication; D007676:Kidney Failure, Chronic / Q000451:nursing*; D010530:Peritoneal Dialysis / Q000379:methods / Q000451:nursing*; D011785:Quality Assurance, Health Care / Q000379:methods*; D058996:Quality Improvement / Q000458:organization & administration; D013192:Staff Development / Q000458:organization & administration; D014421:Turkey