• Department of Nephrology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
DIAOYong-shu, Email: dszhbf@163.com
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Objective To investigate whether continuous quality improvement (CQI) measures can reduce the episodes of peritonitis. Methods We analyzed the data of 114 cases of peritoneal dialysis related peritonitis from January to December 2011 before applying CQI measures and 72 cases from January and December 2012 after applying CQI measures in West China Hospital. Then we studied the episodes, cause and pathogenic bacteria species of peritonitis in peritoneal dialysis patients. We implemented the process of reducing the episodes of peritonitis by applying PDCA four-step design: plan-do-check-act. Results The episodes of peritonitis were reduced from per 60.8 patient-months (0.197/patient-years) to per 66.6 patient-months (0.180/patient-years) after applying CQI measures. The positive rate of pathogenic bacteria culture was both 50.0% before and after applying CQI measures, in which 66.7% were gram-positive cocci. The curing rate of peritonitis was increased from 57 case/times (76.3%) to 87 case/times (79.2%). Switching to hemodialysis rate was reduced from 17 cases/times (14.9%) to 10 cases/times (13.9%). Death cases was reduced from 9 cases/times (7.9%) to 5 cases/times (6.9%). Conclusion These results show that the incidence of peritoneal dialysis related peritonitis decreases and the curing rate increases through CQI measures.

Citation: ZHOUXue-li, QINMin, RENYing, HEXue-qin, DIAOYong-shu. Application of Continuous Quality Improvement Measures in Prevention of Peritoneal Dialysis Related Peritonitis. West China Medical Journal, 2015, 30(10): 1936-1939. doi: 10.7507/1002-0179.20150553 Copy

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