Improving IV iron and anemia management in the hemodialysis setting: a collaborative CQI approach

Patients on hemodialysis may suffer from iron-defciency anemia ensuing from impaired erythropoiesis due to kidney disease and the ongoing loss of blood during the hemodialysis procedure, among other clinical factors. Effective treatment of iron-deficiency anemia is critical for patients but can be challenging for nurses and fellow staff members because proper management requires a balance between erythropoietin-stimulating agents and intravenous iron therapy. Implementing a continuous quality improvement program that focuses on a collaborative approach to managing iron-deficiency anemia can successfully educate all dialysis staff members on treatment-related issues, streamline patient care, and improve anemia-related outcomes, as demonstrated by a regional network of dialysis centers. This article focuses on their experiences and the important role of the nurse in this initiative.