Improving water quality in a dialysis unit using root cause analysis.
Background Water quality levels from hemodialysis (HD) and reverse osmosis (RO) machines in dialysis units must meet standards set by the American Association of Medical Instrumentation. Researchers used a root cause analysis (RCA) approach to identify and address factors affecting water quality in...
| Publicado en: | American Journal of Infection Control Vol. 45; no. 7; pp. 799 - 805 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Jul2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123680073&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 123680073 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01966553 44Q jtl: American Journal of Infection Control issn: 01966553 maglogo: N pubinfo: dt: Jul2017 vid: 45 iid: 7 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 123680073 123680073 123680073 10.1016/j.ajic.2017.02.007 123680073 ppf: 799 ppct: 6 formats: tig: atl: Improving water quality in a dialysis unit using root cause analysis. aug: au: Yadav, Pallavi England, Dawn Vanderkolk, Caprice Iroh Tam, Pui-Ying affil: Department of Infection Prevention, University of Minnesota Medical Center, Minneapolis, MN sug: subj: Dialysis Equipment and Supplies Water Microbiology Infection Control Quality Control (Technology) Quality Improvement Root Cause Analysis Multidisciplinary Care Team Dialysis Centers Interviews Protocols Quality of Care Research Human ab: Background Water quality levels from hemodialysis (HD) and reverse osmosis (RO) machines in dialysis units must meet standards set by the American Association of Medical Instrumentation. Researchers used a root cause analysis (RCA) approach to identify and address factors affecting water quality in the HD and portable RO machines at our institution. Methods A multidisciplinary team reviewed processes, interviewed staff members, and identified opportunities to improve the current sampling and machine disinfection processes. The RCA team identified and implemented 5 interventions, of which 3 were process (changes in water sampling technique, machine disinfection processes, and allocation of machine maintenance duties) and 2 were structural (regular cleaning of water sampling tubes and spigots and addition of new water sampling sites in the system) measures. Results Postimplementation of new protocols, 100% of water cultures of HD and RO machines consistently met the required regulatory standards as recorded over a period of 8 months. Conclusions RCA approach helped improve patient safety, quality of care, streamlined processes, and improved efficiencies of work for staff within the HD program. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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