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Updated: Apr 26, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Vascular access team collaboration to decrease catheter rates in patients on hemodialysis: utilization of Kotter's
Insights
Central venous catheters (CVCs) in hemodialysis patients increase risks. Implementing a multidisciplinary vascular access team using Kotter
Area of Science:
- Nephrology
- Vascular Access Management
- Healthcare Quality Improvement
Background:
- Long-term central venous catheters (CVCs) are associated with significant risks in hemodialysis patients, including infection, morbidity, and mortality.
- Reducing reliance on CVCs is crucial for improving patient outcomes in hemodialysis care.
Abstract:
Long-term central venous catheter (CVC) use among patients on hemodialysis increases the risk of infection, morbidity, and mortality. This article describes the use of Kotter's process of change to establish a multidisciplinary vascular access team to facilitate the replacement of CVCs with long-term accesses. Through the implementation of vascular access teams and the execution of Kotter's eight-step process for leading change, hemodialysis clinics will have the tools needed to reduce CVC utilization rates and improve patient healthcare outcomes.
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