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...

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Publicado en:American Journal of Infection Control Vol. 45; no. 7; pp. 799 - 805
Autores principales: Yadav, Pallavi, England, Dawn, Vanderkolk, Caprice, Iroh Tam, Pui-Ying
Formato: research Journal Article
Publicado: Elsevier B.V. Jul2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2017
      vid: 45
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      pub: Elsevier B.V.
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        123680073
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        10.1016/j.ajic.2017.02.007
        123680073
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        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
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