Managing Access by Generating Improvements in Cannulation: A national quality improvement project

Area of Science:

• Nephrology
• Vascular Surgery
• Quality Improvement Science

Background:

• Cannulation of arteriovenous access is essential for haemodialysis but can lead to access failure and complications.
• Current cannulation practices may not align with established best practice recommendations, impacting patient experience and access longevity.

Purpose of the Study:

• To implement a national quality improvement project in the UK to standardize and enhance cannulation practices for arteriovenous access.
• To ensure that cannulation procedures reflect current needling recommendations from professional bodies.

Main Methods:

• Utilized the Model for Improvement, a structured quality improvement methodology.
• Developed an eLearning package and awareness materials to support practice change.
• Leveraged the Kidney Quality Improvement Partnership for project structure, development, and dissemination.

Main Results:

• The project facilitates the practical implementation of British Renal Society and Vascular Access Society of Britain and Ireland needling recommendations.
• Aims to align actual cannulation practice with defined best practices.
• Developed resources to assist healthcare units in modifying cannulation techniques.

Conclusions:

• The Managing Access by Generating Improvements in Cannulation project seeks to improve understanding and practice of arteriovenous access cannulation.
• The initiative aims to change behaviors and beliefs surrounding correct cannulation to prolong the lifespan of haemodialysis access.