Routine Laboratory Testing Every 4 Versus Every 6 Weeks for Patients on Maintenance Hemodialysis: A Quality Improvement Project Samuel A. Silver, Abdullah.

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Presentation transcript:

Routine Laboratory Testing Every 4 Versus Every 6 Weeks for Patients on Maintenance Hemodialysis: A Quality Improvement Project Samuel A. Silver, Abdullah Alaryni, Abdullah Alghamdi, Genevieve Digby, Ron Wald, Eduard Iliescu American Journal of Kidney Diseases Volume 73, Issue 4, Pages 496-503 (April 2019) DOI: 10.1053/j.ajkd.2018.10.008 Copyright © 2018 National Kidney Foundation, Inc. Terms and Conditions

American Journal of Kidney Diseases 2019 73, 496-503DOI: (10. 1053/j American Journal of Kidney Diseases 2019 73, 496-503DOI: (10.1053/j.ajkd.2018.10.008) Copyright © 2018 National Kidney Foundation, Inc. Terms and Conditions

Figure 1 The proportion of patients (pts) with hemoglobin levels in the target range (10-12g/dL) at a given interval. The change from 4- to 6-week blood work occurred on March 24, 2014. The mean upper (UCL) and lower control limits (LCL) are plotted 3 standard deviations (SDs) from the mean (CL). ∗Two of 3 consecutive measurements outside 2 SDs from the mean. American Journal of Kidney Diseases 2019 73, 496-503DOI: (10.1053/j.ajkd.2018.10.008) Copyright © 2018 National Kidney Foundation, Inc. Terms and Conditions

Figure 2 The proportion of patients (pts) with phosphate levels in the target range (2.5-4.6mg/dL) at a given interval. The change from 4- to 6-week blood work occurred on March 24, 2014. The mean upper (UCL) and lower control limits (LCL) are plotted 3 standard deviations from the mean (CL). American Journal of Kidney Diseases 2019 73, 496-503DOI: (10.1053/j.ajkd.2018.10.008) Copyright © 2018 National Kidney Foundation, Inc. Terms and Conditions

Figure 3 The hemodialysis unit mortality rate from June 1, 2012, to December 31, 2015, at a given interval. The change from 4- to 6-week blood work occurred on March 24, 2014. The upper control limit (UCL) is plotted 3 standard deviations from the mean (CL). ∗Eight or more continuous observations below the mean. Abbreviation: pts, patients. American Journal of Kidney Diseases 2019 73, 496-503DOI: (10.1053/j.ajkd.2018.10.008) Copyright © 2018 National Kidney Foundation, Inc. Terms and Conditions