Reduction of Waste Mass in Used Hemodialysis Circuits by Quality Control Circle Activity.

IF 2.2 3区医学 Q3 HEMATOLOGY

Blood Purification Pub Date : 2025-03-28 DOI:10.1159/000545400

YingYan Liang, Ni Xu, YongXiao Zhang, MeiXia Wu, QiuQin Ding, Jing Yin, JieEr Guo, QiongQiong Yang, Hao Li, XiaoMei Li

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引用次数: 0

Abstract

Introduction: The improvement of waste management constitutes a critical component of green nephrology initiatives. Hemodialysis circuits represent a substantial proportion of medical waste generated in dialysis units, yet standardized industry protocols for optimizing the disposal of discarded hemodialysis circuits remain underdeveloped. This study aimed to validate the effectiveness of Quality Control Circle (QCC) methodology in reducing the total mass of discarded hemodialysis circuits.

Methods: A multidisciplinary QCC task force was established with the explicitly defined objective: "reduce residual fluid volume in discarded hemodialysis circuits." The QCC methodology was systematically implemented to drive process improvements. Residual fluid mass from decommissioned hemodialysis circuits served as the primary quality metric, with comparative analyses conducted pre- and post-intervention.

Results: Implementation of QCC interventions resulted in a 29.7% reduction in mean circuit mass, decreasing from 0.64 ± 0.015 kg to 0.45 ± 0.012 kg (p < 0.01) across the sampled hemodialysis apparatus.

Conclusion: The implementation of QCC activities has significantly reduced residual waste from hemodialysis circuits, leading to environmental conservation and lower waste disposal costs. QCC serves as an effective management tool for hemodialysis units to promote the concept of green nephrology.

查看原文本刊更多论文

通过QCC活性减少血液透析回路中的废物量。

导言：改善废物管理是绿色肾脏病学计划的重要组成部分。血液透析回路在透析室产生的医疗废物中占很大比例，但优化废弃血液透析回路处置的标准化行业协议仍未制定。本研究旨在验证质量控制圈（QCC）方法在减少废弃血液透析回路总重量方面的有效性：方法：成立了一个多学科 QCC 工作组，其明确的目标是："减少废弃血液透析回路中的残留液体量"。系统地实施 QCC 方法，推动流程改进。退役血液透析回路的残留液体量是主要的质量指标，干预前后进行了对比分析：结果：实施 QCC 干预措施后，回路平均质量降低了 29.7%，从 0.64±0.015 kg 降至 0.45±0.012 kg（p 结论：实施 QCC 活动显著降低了血液透析回路的平均质量：实施 QCC 活动大大减少了血液透析回路中的残余废物，从而保护了环境并降低了废物处理成本。QCC 是血液透析室推广绿色肾脏病理念的有效管理工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Blood Purification 医学-泌尿学与肾脏学

CiteScore

5.80

自引率

3.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Practical information on hemodialysis, hemofiltration, peritoneal dialysis and apheresis is featured in this journal. Recognizing the critical importance of equipment and procedures, particular emphasis has been placed on reports, drawn from a wide range of fields, describing technical advances and improvements in methodology. Papers reflect the search for cost-effective solutions which increase not only patient survival but also patient comfort and disease improvement through prevention or correction of undesirable effects. Advances in vascular access and blood anticoagulation, problems associated with exposure of blood to foreign surfaces and acute-care nephrology, including continuous therapies, also receive attention. Nephrologists, internists, intensivists and hospital staff involved in dialysis, apheresis and immunoadsorption for acute and chronic solid organ failure will find this journal useful and informative. ''Blood Purification'' also serves as a platform for multidisciplinary experiences involving nephrologists, cardiologists and critical care physicians in order to expand the level of interaction between different disciplines and specialities.