Improving Dialysis Care: Nephrologists Transforming Dialysis Safety

By Alan S. Kliger MD

Approximately 10% of individuals with ESRD died in 2012 due to infections.1

Approximately 63,690 dialysis patients died from infectious complications in 2012. 1

While overall mortality rate and death from heart disease have improved in recent years, infection-related morbidity and mortality have not. Stopping these infections will require a transformation in the way we detect and manage infection.

The Nephrologists Transforming Dialysis Safety (NTDS) project is designed to accomplish this transformation in three years and was awarded to ASN by the US Centers for Disease Control and Prevention (CDC). 

The NTDS Project Committee is led by 18 nephrology community experts and 4 CDC representatives.  These dedicated volunteers are divided into four working groups:

Current and Emerging Threats

Alp Ikizler, MD and John Boyce, MD, Co-Chairs

Identify potential emerging threats and improve preparedness

Develop a gap analysis on lessons learned from the Ebola response

Increase implementation of existing clinical protocols to ensure accurate detection and appropriate treatment of infections, including Hepatitis B and Hepatitis C, as well as MDROs; antibiotic stewardship

Quality, Assessment, Improvement and Education

Leslie Wong, MD, Chair

Develop educational symposia and educational tools

Network with national dialysis organizations regarding Medical Director training, the Virtual Mentor Dialysis Curriculum, and NHSN support

Develop scientific publications, and promote infection prevention through social media outreach

Training Programs

Sharon Adler, MD, Chair

Develop and conduct infection prevention educational programs and training for Fellows

Provide accreditation for infection prevention training

Suggest update to the ABIM nephrology blueprint

State and Federal HAI Programs

Anitha Vijayan, MD and Eugene Livar, MD, Co-Chairs

Promote nephrologist awareness of state and federal HAI programs and encourage participation in those programs

Promote awareness of reportable infectious diseases

Engage state and federal HAI programs, education them about the NTDS program and promote relationships to address and prepare for emerging threats

1. United States Renal Data System. 2014 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States. Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 2014.​

Category:
Subcategory:
Author:
Alan S. Kliger MD
Article Image:
Body:

Approximately 10% of individuals with ESRD died in 2012 due to infections.1

Approximately 63,690 dialysis patients died from infectious complications in 2012. 1

While overall mortality rate and death from heart disease have improved in recent years, infection-related morbidity and mortality have not. Stopping these infections will require a transformation in the way we detect and manage infection.

The Nephrologists Transforming Dialysis Safety (NTDS) project is designed to accomplish this transformation in three years and was awarded to ASN by the US Centers for Disease Control and Prevention (CDC). 

The NTDS Project Committee is led by 18 nephrology community experts and 4 CDC representatives.  These dedicated volunteers are divided into four working groups:

Current and Emerging Threats

Alp Ikizler, MD and John Boyce, MD, Co-Chairs

Identify potential emerging threats and improve preparedness

Develop a gap analysis on lessons learned from the Ebola response

Increase implementation of existing clinical protocols to ensure accurate detection and appropriate treatment of infections, including Hepatitis B and Hepatitis C, as well as MDROs; antibiotic stewardship

Quality, Assessment, Improvement and Education

Leslie Wong, MD, Chair

Develop educational symposia and educational tools

Network with national dialysis organizations regarding Medical Director training, the Virtual Mentor Dialysis Curriculum, and NHSN support

Develop scientific publications, and promote infection prevention through social media outreach

Training Programs

Sharon Adler, MD, Chair

Develop and conduct infection prevention educational programs and training for Fellows

Provide accreditation for infection prevention training

Suggest update to the ABIM nephrology blueprint

State and Federal HAI Programs

Anitha Vijayan, MD and Eugene Livar, MD, Co-Chairs

Promote nephrologist awareness of state and federal HAI programs and encourage participation in those programs

Promote awareness of reportable infectious diseases

Engage state and federal HAI programs, education them about the NTDS program and promote relationships to address and prepare for emerging threats

1. United States Renal Data System. 2014 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States. Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 2014.​