title: Vascular access team collaboration to decrease catheter rates in patients on hemodialysis: utilization of Kotter's change process.
abstract: Long-term central venous catheter (CVC) use among patients on hemodialysis increases the risk of infection, morbidity, and mortality. This article describes the use of Kotter's process of change to establish a multidisciplinary vascular access team to facilitate the replacement of CVCs with long-term accesses. Through the implementation of vascular access teams and the execution of Kotter's eight-step process for leading change, hemodialysis clinics will have the tools needed to reduce CVC utilization rates and improve patient healthcare outcomes.
authors: Genevieve
authors: G
authors: Mbamalu
authors: Kimberly
authors: K
authors: Whiteman
mesh_terms: D001166:Arteriovenous Shunt, Surgical; D002405:Catheterization, Central Venous; D002408:Catheters, Indwelling; D003299:Cooperative Behavior; D004509:Education, Nursing, Continuing; D005260:Female; D006801:Humans; D017053:Infection Control / Q000379:methods*; D007676:Kidney Failure, Chronic / Q000451:nursing*; D064647:Nephrology Nursing / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration*; D017410:Practice Guidelines as Topic; D017064:Process Assessment, Health Care / Q000379:methods*; D006435:Renal Dialysis / Q000379:methods*; D012307:Risk Factors; D062666:Vascular Access Devices