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Monitor turnaround time and time efficiency in hemodialysis delivery--a global comparison
Maria Alquist1, Jorgen B A Hegbrant, Juan P Bosch
1Medical and Safety Office, Gambro AB, Lund, Sweden. maria.alquist@gambro.com
Background/Aims:
Increasing cost pressure has forced shortening of dialysis treatments. The aim of this study was to benchmark the hemodialysis (HD) delivery monitor turnaround time and time efficiency in a global comparison.
Methods:
683 HD deliveries in 26 Gambro Healthcare clinics in Europe, Taiwan and the USA were assessed using the Treatment Mapping methodology.
Results:
Consolidated mean monitor turnaround time was 324.4 min. On average, 69% consisted of the HD treatment and 31% (102.8 min) of other activities: monitor preparation, monitor disinfection and monitor waiting--roughly one third each. USA had the shortest monitor turnaround, dialysis treatment and disinfection times. However, time efficiency--the percentage of monitor turnaround time on dialysis--was the lowest in the USA (68 vs. 69 and 74% in Europe and Taiwan) as monitor preparation, undress and waiting were the longest in USA.
Conclusion:
A monitor/disposable design to minimize time for preparation, undress and disinfection would reduce the cost of operational time without compromising quality.
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