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Welcome to ESRD Network 18
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Our Mission

To provide leadership and assistance to renal dialysis and transplant facilities in a manner
that supports continuous improvement in patient care, outcomes, safety and satisfaction.

Quality Improvement Project

Adequacy of Dialysis

(2000-2001)
ESRD Network 18

ABSTRACT

A dialysis adequacy quality improvement project focusing on dialysis prescription elements was completed in 2001.  Two equally matched groups of low-performing facilities were separated into intervention and control groups, and randomly-drawn individual patients were monitored over a 4-month period.  Within and between group analyses showed no significant difference in many of the hemodialysis adequacy process and outcome indicators; however, the intervention group had greater improvements in percentage of patients with URR >.65 and higher treatment times and blood flow rates than the control group.  By the end of the project 60% of the intervention facilities had met the improvement goal (>80% of patients in facility with URR >.65), while only 30% of the control facilities met the goal.

 

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