ABSTRACT
Total Quality Management techniques have recently been introduced into clinical practice. We describe the application of process management to hemodialysis therapy in a Spanish public hospital. The "ownership" of the hemodialysis process and its limits have been defined. We present a flowchart with all the activities involved in the process and the task description. Monitoring indicators have been selected according to the recommendations of the US Committee on the National Report on Health Care Delivery. Data sources for indicators have also been described.
Subject(s)
Hemodialysis Units, Hospital/organization & administration , Hospitals, Public/organization & administration , Total Quality Management , Hemodialysis Units, Hospital/statistics & numerical data , Hospitals, Public/statistics & numerical data , Humans , Kidney Failure, Chronic/therapy , Practice Guidelines as Topic , Process Assessment, Health Care , Quality Assurance, Health Care , Renal Dialysis/standards , Renal Dialysis/statistics & numerical data , Software Design , SpainABSTRACT
Las técnicas de gestión de calidad total han sido introducidas recientemente en la práctica clínica. Este artículo describe la aplicación de la gestión de procesos a la hemodiálisis (HD), como tratamiento renal sustitutivo de la insuficiencia renal crónica, en un hospital público español. Se ha definido el proceso con un diagrama de flujo en el que aparecen todas las actividades del mismo. Los indicadores para su monitorización han sido seleccionados siguiendo las recomendaciones del Committee on the National Report on Health Care Delivery norteamericano. Se describen los estándares y las fuentes de datos para los indicadores (AU)
