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Related Experiment Video

Updated: Jul 15, 2026

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Published on: August 9, 2024

Implementation of a vascular access quality programme improves vascular access care.

M van Loon¹, W van der Mark, N Beukers

¹Department of Surgery, University Hospital Maastricht, P. Debeijelaan 25, PO Box 5800, 6202 AZ Maastricht, The Netherlands.

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association

|April 3, 2007

Summary

A quality improvement plan for vascular access in dialysis patients increased autogenous AV fistula use and interventions. This approach is beneficial for improving patient care and reducing access complications.

Related Experiment Videos

Last Updated: Jul 15, 2026

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Using Simulation Models to Train Clinicians in the Use of Point-of-Care Ultrasound

Published on: August 9, 2024

Area of Science:

Nephrology
Vascular Surgery
Quality Improvement

Background:

Vascular access complications are a significant concern in dialysis patients.
A vascular access quality improvement plan (QIP) was implemented in the Netherlands by vascular access coordinators (VAC).
The QIP aimed to reduce complications through preemptive intervention of malfunctioning accesses.

Purpose of the Study:

To evaluate the effectiveness of a vascular access QIP in improving dialysis access outcomes.
To assess changes in vascular access type, complication rates, and interventions following QIP implementation.

Main Methods:

A vascular access QIP was established in 24 centers, involving 2300 patients.
Protocols for fistula creation and access surveillance were implemented.
Multidisciplinary meetings, physician/nurse training, and complication reviews were conducted.

Main Results:

Autogenous arterio-venous fistula (AVF) use increased significantly from 69% to 77%.
Use of temporary subclavian vein catheters decreased, while jugular vein catheter use increased.
Interventional treatments, including percutaneous transluminal angioplasty (PTA) and surgical revisions, also increased.

Conclusions:

The vascular access QIP led to increased placement of autogenous AVFs and a higher number of interventions (PTA and surgical).
These findings suggest that a vascular access QIP is a valuable strategy for enhancing dialysis patient care.
Implementing a QIP can help improve vascular access morbidity in dialysis patients.