Document Detail


A case management model to improve hemodialysis outpatient outcomes.
MedLine Citation:
PMID:  17403178     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Optimal outpatient dialysis care is often difficult to achieve and a case management model to augment conventionally applied nursing and physician resources focusing on continuous quality improvement presents a possible solution to improving outcomes in this setting. We applied this model to patients followed by our physician group. Continuous quality improvement data generated from the dialysis unit database were used to analyze outcomes in patients enrolled in this model. Data from the cohort of patients followed in 2003 served as the reference source for comparative purposes. The nurse case manager assumed responsibility during the second quarter of 2004. Comparing outcomes data from 2005 with data from 2003, we were able to achieve a 3.12% improvement in the annualized mean percent crude mortality per 100 patient years (p<0.003). There was a 3.46-day trend to improvement in patient hospital days per year (p<0.06). The percentage of catheters used as primary access decreased by 9.59% (p<0.025), and the percentage of patients meeting an eKdrt/V goal > or =1.2 increased by 15.33% to 92.37% (p<0.001). These data appear to support the utility of a case manager model in our system.
Authors:
David J R Steele; Emel Hamilton; M Amin Arnaout
Related Documents :
17851348 - Problems experienced by haemodialysis patients in greece.
12197928 - Nutritional problems associated with end-stage renal disease in the developing world.
263958 - Use of microanalytic laboratory methods to reduce blood loss in dialysis patients.
18209368 - Psycho-social features of chronic dialysis patients in saudi arabia: experience of one ...
9468418 - Diagnostic and therapeutic impact of push enteroscopy: analysis of factors associated w...
12066968 - Rhabdomyolysis associated with cerivastatin: six cases within 3 months at one hospital.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hemodialysis international. International Symposium on Home Hemodialysis     Volume:  11     ISSN:  1492-7535     ISO Abbreviation:  Hemodial Int     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-03     Completed Date:  2007-06-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101093910     Medline TA:  Hemodial Int     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  247-51     Citation Subset:  IM    
Affiliation:
Nephrology Division, Department of Medicine, Massachusetts General Hospital (MGH), Boston, Massachusetts 02114, USA. dsteele@partners.org
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Case Management*
Catheterization / utilization
Female
Humans
Male
Nurse Administrators
Outpatients*
Renal Dialysis*
Retrospective Studies
Survival Rate
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Functional iron deficiency in hemodialysis patients with high ferritin.
Next Document:  Chronic maintenance hemodialysis: making sense of the terminology.