1. Quality Assurance: Starting a Program in Dialysis --; 2. Patient and Therapy Perspectives: Choosing the Patient: 'Is Better Worse?' --; 3. Quality Systems in the Dialysis Center: Peritoneal Dialysis --; 4. Continuous Quality Improvement in Dialysis: Operations and Controls for Multi-Center Systems --; 5. Quality of Care in Home Dialysis --; 6. Water Treatment for Hemodialysis --; 7. The Impact of Membrane Selection on Quality Assurance in Dialysis --; 8. Quality of Life Assurance in Hemodialysis --; 9. Dialyser Reuse and the Quality of Therapy --; 10. Multicenter Trials as a Measure for Improving the Quality of Clinical Decisions --; 11. Quality Assurance in Renal Transplantation --; 12. Quality Assurance in Dialysis Product Manufacturing --; 13. Human Resource Issues in Quality Management --; 14. Quality Criteria for the Clinical Record --; 15. Continuous Quality Improvement and the Best Demonstrated Practices Program.
The concept of quality assurance is increasingly recognized as an essential component in the delivery of medical care. It has come into particular focus in the area of kidney failure and its treatment by dialysis because the customer for this care truly enters into a lifetime relationship with his health care providers. The present handbook provides perspectives for those wishing to design and employ quality assurance principles and those of continuous quality improvement in the arena of end-stage kidney failure and its treatment, whether by dialysis or transplantation. Quality assurance principles are considered to be an inherent part of medical training and are commonly assumed to be utilized. The present work permits an interested reader to assess the validity of this assumption and, if found wanting, it provides the tools to introduce these principles as key components of staff training and practice conduct. Contributions in this book have been drawn from leading experts and, as such, represent a variety of perspectives, each with the focus of providing guidelines for introducing quality assurance into the medical care of patients with kidney failure.