DTA

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Tesi etd-05292021-143110

Type of thesis
Master univ. II liv.
Author
RIVA, HILARY
E-mail address
riva.hilary@gmail.com
URN
etd-05292021-143110
Title
Dialysis Access Registry (DiARy): dalla progettazione ai primi risultati.
Structure
Istituto di Scienze della Vita
Course
Corsi Alta Formazione - LA TEORIA E LA PRATICA DELL?ACCESSO VASCOLARE NEL PAZIENTE IN EMODIALISI
Committee
relatore Prof. MEOLA, MARIO
Tutor Dott. BONFORTE, GIUSEPPE
Keywords
  • Dialysis access
  • Medical registry
  • Patient safety.
  • Quality Indicator
Exam session start date
23/06/2021;
Availability
parziale
Abstract
INTRODUCTION: Medical registries represent a powerful instrument to collect data for analysis for different purposes. In our institution a survey on vascular accesses for dialysis showed that the adherence to guidelines was not optimal so the Quality departement approved the project to create a registry to monitor them and to intervene to correct wrong trands.<br>MATERIAL AND METHODS: The DiARy (the Dialysis Access Registry) was create after discussions and an accurate planning following the main guidelines for registry creation. Only essential data are required and informatic tools for Augmented data quality (the clicnical information catalogue- CIC) were also used to improve the DiARy performance. DiARy works since june 2018 and all patients performing dialysis in our institution since 2013 are inserted and monitored.<br>RESULTS:. Initial data showed a lack of fundamental data because of unclear definition. In Over two years of follow up data quality improved also thanks to a major attention in clinical processes, so it is possible to extract the quality indicator and to monitor benchmarks. Dashboards are now available to monitor the clinical situation and procedures. Its presence also stimulates a cultural improvement and this is partially visible from vascular accesse trand in management.<br>CONCLUSION: The DiARy is a fundamental quality tool and it’s well working. The CIC is a valuable and functional instrument and it guarantees the completeness of minimal dataset and makes data always available for the owners of them.
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