[Implementing vascular access protection indicators (VAPI) in dialysis: an innovation in quality of care]

Abstract

Between 2013 and 2021, indicators of vascular access protection (IPAV) integrating a census of haematomas and multiple punctures were set up on the active file of chronic kidney failure patients with a vascular access dialyzed in Monaco's private haemodialysis center. They could help reduce the occurrence of complications and improve the quality of care offered to patients. This article reports on the results obtained before and after the introduction of this quality approach.

Keywords: arteriovenous fistula; dialyse; dialysis; fistule artério-veineuse; hematoma; hématome; indicateur; indicator; multiponction; ponction; puncture.