YingYan Liang, Ni Xu, YongXiao Zhang, MeiXia Wu, QiuQin Ding, Jing Yin, JieEr Guo, QiongQiong Yang, Hao Li, XiaoMei Li
{"title":"通过QCC活性减少血液透析回路中的废物量。","authors":"YingYan Liang, Ni Xu, YongXiao Zhang, MeiXia Wu, QiuQin Ding, Jing Yin, JieEr Guo, QiongQiong Yang, Hao Li, XiaoMei Li","doi":"10.1159/000545400","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":8953,"journal":{"name":"Blood Purification","volume":" ","pages":"1-8"},"PeriodicalIF":2.2000,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Reduction of Waste Mass in Used Hemodialysis Circuits by Quality Control Circle Activity.\",\"authors\":\"YingYan Liang, Ni Xu, YongXiao Zhang, MeiXia Wu, QiuQin Ding, Jing Yin, JieEr Guo, QiongQiong Yang, Hao Li, XiaoMei Li\",\"doi\":\"10.1159/000545400\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":8953,\"journal\":{\"name\":\"Blood Purification\",\"volume\":\" \",\"pages\":\"1-8\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-03-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Blood Purification\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1159/000545400\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"HEMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Blood Purification","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1159/000545400","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEMATOLOGY","Score":null,"Total":0}
Reduction of Waste Mass in Used Hemodialysis Circuits by Quality Control Circle Activity.
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.
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.
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