Continuous Quality Improvement in Daily Clinical Practice: A Proof of Concept Study
Figure 3
Aggregate report used for CQI in a 44 year old female patient treated by dialysis for 23 years.
Although the report was run monthly for the latest 18-months, for clarity only a 10-month time span is shown. This report automatically calculated data for monthly intervals during 2009. Displayed are HD treatments, data relevant to the erythron and iron status, and the EPO and IV iron administered. In November 2009 to January 2010, despite EPO administration of 355–445 units/Kg/week, hemoglobin was low and falling; the low TSAT and relatively low MCH pointed to iron insufficiency. She received 3.4 g of iron intravenously between February and May 2010. An increase in Hb, TSAT, MCH, and serum albumin was evident in May, and continued.