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Recommendations for tracking arteriovenous access complications using a charting-by-exception model
1Ocean Renal Associates, Toms River, NJ, USA.
ANNA Journal
|October 29, 1998
Insights
Hemodialysis patients often need vascular access revisions. Charting-by-exception (CBE) offers a method to improve documentation and tracking of arteriovenous access complications, aiding early management.
Area of Science:
- Nephrology
- Vascular Surgery
- Health Informatics
Background:
- Vascular access complications are frequent in hemodialysis patients, necessitating improved management strategies.
- Current documentation methods may not adequately capture or facilitate timely intervention for long-term arteriovenous access issues.
Purpose of the Study:
- To introduce the charting-by-exception (CBE) documentation model.
- To explore how CBE can enhance the assessment, documentation, and tracking of arteriovenous access complications in hemodialysis patients.
Main Methods:
- Review of the charting-by-exception (CBE) documentation model.
- Discussion of its application in managing long-term arteriovenous access complications.
Main Results:
- The CBE model provides a structured approach to identify and manage AV access complications.
- It facilitates early detection and intervention, potentially reducing the need for revisions.
Conclusions:
- Charting-by-exception is a valuable tool for improving the care of hemodialysis patients with AV access.
- Implementing CBE can lead to better outcomes by enhancing the monitoring and management of vascular access complications.
Abstract:
Due to a high number of vascular access revisions among hemodialysis patients, there is a great need to solidify methods to accurately assess, document, and track complications. This article presents an overview of the charting-by-exception (CBE) documentation model, which can enhance early identification and management of long-term AV access complications.