Inpatient Outsourced Dialysis: Scorecards Usefulness and Usability for Monitoring Patient Safety [Report]
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Background: Dialysis services are expected to meet quality metrics as conditions of coverage for The Joint Commission. The use of scorecards improved the ability to monitor quality in areas for infection prevention and safety. A two-phase quality improvement project was undertaken to evaluate the perceived usefulness and usability of Dialysis Service Scorecard (DSS) among 12 regional hospital partners. Methods: In phase I the DSS was designed, developed, and piloted. Five key Joint Commission metrics were assessed. Scorecard data collection, staff training, report building, and six-month outcomes were presented to the leadership team at the pilot facility. In Phase II regional leader teams were surveyed to determine the DSS's perceived usefulness and usability for monitoring safety quality indicators using a 20-item electronic survey. Results: Responder roles ranged from Nurse Executives to Infection Preventionists at both urban (n=8) and rural (n=2) hospitals. The majority of hospitals (n=7) were urban facilities with less than 500 hundred beds. Most (90%) leaders reported previous use and 60% found the Dialysis Service Scorecard "extremely useful". Conclusion: Dialysis Service Scorecards readily identify areas that are lacking in quality performance standards providing hospital leaders with a valuable quality pe1formance management tool.