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Indicadores para avaliação do acesso vascular de usuários em hemodiálise

Revista da Escola de Enfermagem da USP
Publication Date
  • Diálise Renal
  • Cuidados De Enfermagem
  • Qualidade Da Assistência à Saúde
  • Avaliação De Serviços De Saúde
  • Renal Dialysis
  • Nursing Care
  • Quality Of Health Care
  • Health Services Evaluation
  • Diálisis Renal
  • Atención De Enfermería
  • Calidad De La Atención De Salud
  • Evaluación De Servicios De Salud
  • Design
  • Medicine


The purpose of this study was to develop reliable assessment instruments to measure hemodialysis vascular access. The design of healthcare indicators involved an indepth-analysis of vascular access practices in hemodialysis and their underlying theoretical rationale, and was grounded on Donabedian's framework. Four indicators were selected: performance of temporary double-lumen catheter, maintenance of temporary double-lumen catheter, monitoring of arteriovenous fistula and complications of arteriovenous fistulas. The first three are process-oriented while the last one relate to outcomes. Data was collected in October and November 2008 using a tree-part questionnaire, thus divided: assessment of the indicators' operations manual, assessment of health attributes of the indicators and assessment of each of the components. The validation of the indicators was carried out by a panel of nine internationally renowned experts in nephrology. All indicators were validated by the panel, with at least a 75% favorable consensus. It is believed that the use of this instrument contributes for evaluation and improvement of quality in hemodialysis services.

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