{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T03:31:18Z","timestamp":1747193478064,"version":"3.40.5"},"reference-count":22,"publisher":"S. Karger AG","issue":"12","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Blood Purif"],"published-print":{"date-parts":[[2022]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Introduction:&lt;\/i&gt;&lt;\/b&gt; Peritoneal dialysis (PD) remains underutilised in the West. The proportion of patients in the UK starting renal replacement therapy (RRT) with PD fell from 7.2% in 2011 to 6.0% in 2016. At our centre, 8.4% of dialysis patients received PD in April 2014. Evidence suggests that home dialysis improves patient clinical outcomes; therefore, a target was agreed to achieve 25% of dialysis patients receiving PD by 2018. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; A rapid improvement process was introduced, as a quality improvement tool, to increase and sustain the PD programme. With multidisciplinary team support for PD growth, a nephrologist was trained to insert PD catheters. Nurses were trained to provide patients with balanced pre-dialysis information and discuss alternative dialysis modalities with haemodialysis (HD) patients. The \u201cAcceptance, Choice and Empowerment\u201d project raised awareness of home therapy choices, using a peer educator model specifically for ethnic minority patients. Lean methodologies were used to ensure continuous quality improvement. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; PD uptake increased from 37 to 84 patients, giving a PD penetration increase from 8.4% to 19.1% between April 2014 and March 2018. Catheter insertions increased from 94 at the end of QI Period 1 to 185 at the end of QI Period 2, representing a 97% increase, with the medical\/surgical split remaining stable. Peritonitis rates remained stable, and PD drop off to HD reduced from 52% to 41% during the same period. &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; By implementing a rapid improvement process and embedding a quality improvement programme, the number of incidents and prevalent PD patients increased and was sustained. <\/jats:p>","DOI":"10.1159\/000524160","type":"journal-article","created":{"date-parts":[[2022,4,27]],"date-time":"2022-04-27T21:00:36Z","timestamp":1651093236000},"page":"1022-1030","source":"Crossref","is-referenced-by-count":4,"title":["A Quality Improvement Process to Increase and Sustain a Peritoneal Dialysis Programme in the United Kingdom"],"prefix":"10.1159","volume":"51","author":[{"given":"Nihit","family":"Shah","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann","family":"Cole","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"McCarthy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4539-9927","authenticated-orcid":false,"given":"Jyoti","family":"Baharani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2022,4,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1159\/000481376"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1309\/AJCP2QY1XGKTSNQF"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2009060635"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2014.00347"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097\/01.asn.0000102475.94185.54"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1159\/000484115"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gft214"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1177\/089686080302300314"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1369-7625.2012.00798.x"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1097\/MAJ.0000000000000283"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2018.12.033"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1097\/MNH.0000000000000274"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c112"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-017-0751-y"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1111\/j.1369-7625.2009.00568.x"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfr266"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.12968\/jokc.2017.2.3.176"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfv066"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1159\/000481363"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2001.00969.x"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2016.00011"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2013.00120"}],"container-title":["Blood Purification"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/524160","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/524160","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:58:43Z","timestamp":1745423923000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000524160"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":22,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2022,12,1]]},"published-print":{"date-parts":[[2022,12,6]]}},"URL":"https:\/\/doi.org\/10.1159\/000524160","archive":["Portico"],"relation":{},"ISSN":["0253-5068","1421-9735"],"issn-type":[{"type":"print","value":"0253-5068"},{"type":"electronic","value":"1421-9735"}],"subject":[],"published":{"date-parts":[[2022]]}}}