Tools to Improve Quality and Safety in the Acute Dialysis Unit

Quality assessment and process improvement (QAPI) is an essential component to ensure the safety and quality of patient care in an acute dialysis unit. This article details the Structure-Process-Outcome model of quality analysis and suggests involving the entire acute care team in quality improvement processes, gathering data from environmental and infection control rounds and direct staff observations, as well as holding monthly quality improvement meetings with a standard and timed agenda. QAPI should be integrated into the fabric of the unit, and its processes should be seamless and automated.