title: The cost of alkaline solutions in ambulatory hemodialysis: an analysis about wasteful from the processes control.
abstract: BACKGROUND
  There are few studies about costs of inputs used in hemodialysis and among these expenditures, the compounds that make up the dialysate are one of the values considered as representative of this therapy. However, there aren't costs studies that guiding solutions.
  
  
  OBJECTIVE
  The objective of this article is discuss whether there is wasteful of alkaline solutions in ambulatory hemodialysis and hence the possibility of reduction in cost from the standardization process simulation of establishment of dialysate flow in periods between shifts in hemodialysis outpatients.
  
  
  METHODS
  Starting from an observational analytic, a simulation was performed twenty case scenarios, which ten cases established by standardizing processes control on the dialysate flow in recession. The combination of data was performed using as a basis the prices of three suppliers of alkali liquid or powder.
  
  
  RESULTS
  It was observed among the scenarios with standardized processes, ranging between 7.7% and 33.3% savings in the alkaline solution cost (powder or liquid), by reducing waste.
  
  
  CONCLUSIONS
  It is possible to restrain the wasteful use of alkaline solutions, both powder and liquid. Consequently, its cost from the patterning on reducing the flow of dialysate during the intervals between shifts observed in the outpatient hemodialysis. However, these results are conditional upon the commitment of health professionals, mainly to supervision exercise and control of activities in quality function deployment.
authors.affiliation: Universidade Federal de Juiz de Fora.
authors.forename: Celso Souza
authors.initials: CS
authors.lastname: de Moraes Junior
authors.affiliation: Universidade Federal de Juiz de Fora.
authors.forename: Ricardo Rodrigues Silveira
authors.initials: RR
authors.lastname: de Mendonça
authors.affiliation: Santa Casa de Belo Horizonte.
authors.forename: Raquel Oliveira Rocha de Freitas
authors.initials: RO
authors.lastname: Hatem
authors.affiliation: Santa Casa de Belo Horizonte.
authors.forename: André Luiz Sampaio
authors.initials: AL
authors.lastname: Souza
authors.affiliation: Santa Casa de Belo Horizonte.
authors.forename: Adriana Rodrigues
authors.initials: AR
authors.lastname: Chaves
authors.affiliation: Universidade Federal de Juiz de Fora.
authors.forename: Marcus Gomes
authors.initials: MG
authors.lastname: Bastos
authors.affiliation: Universidade Federal de Juiz de Fora.
authors.forename: Fernando Antônio Basile
authors.initials: FA
authors.lastname: Colugnati
mesh_terms: D000468:Alkalies / Q000191:economics*; D003365:Costs and Cost Analysis; D015314:Dialysis Solutions / Q000191:economics*; D006801:Humans; D017064:Process Assessment, Health Care; D006435:Renal Dialysis / Q000191:economics*
chemical_list: D000468:Alkalies; D015314:Dialysis Solutions