Reducing time for vascular access salvage: initial results from a single institution's clinical practice improvement programme.

ABSTRACT:

Background

One of the most common causes of arteriovenous fistula (AVF) and/or arteriovenous graft (AVG) failure is thrombosis. Guidelines recommend early AVF salvage within 24-48 hours. Our institution reported poor compliance with these recommendations, with a median of 3 days prior to vascular access (VA) salvage. We present our initial results following the implementation of a clinical practice improvement programme (CPIP) to reduce delay to VA salvage.

Methods

The CPIP was conducted in three phases: pre-CPIP (23 January to 30 April 2023), CPIP pre-intervention (22 May to 3 September 2023) and CPIP post-intervention (4 September 2023 to 7 January 2024). Root cause analysis was performed to identify factors resulting in VA salvage delay. Measures implemented included a pl

SUBMITTER: Chan KS 

PROVIDER: S-EPMC11907025 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature