AHRQ Safety Program for End-Stage Renal Disease Facilities

This is an ongoing project that will result in a toolkit to help End-Stage Renal Disease (ESRD) clinics prevent health care-associated infections in dialysis patients. It is expected to conclude in the fall of 2014.

According to the most recent data available, 12 percent of dialysis patients in the United States are hospitalized annually due to septicemia; 16 percent died of an infection. Many of these infections are preventable through the use of evidence-based infection control practices that are not currently practiced uniformly in U.S. dialysis facilities.

To address this problem, the Agency for Healthcare Research and Quality (AHRQ) funded the National Opportunity to Improve Infection Control in ESRD (NOTICE), a two-year project to develop and implement resources to help dialysis facilities reduce infections.

The project aims to:

  • Reduce vascular access infections,
  • Enhance infection control best practices among clinicians, and
  • Improve safety culture using AHRQ’s Comprehensive Unit-based Safety Program (CUSP) framework.

After the project ends, a toolkit of science-based and practical resources will be publicly available. These materials will reflect the real-world experiences of the frontline providers who participated in this project.

Available Resources

Some of the materials that have been developed in this project are able to be shared now. These resources are listed below and will be included in the final toolkit at completion of the project.

Video Vignettes

Four companion video vignettes are available as supplementary resources.

Note: You may download these videos in WMV format for local use without an Internet connection. Videos are compressed in Zip format for easier downloading.

Infection Control Checklists

The infection control checklists were created to help facilities perform audits. They can be used as a bundle or individually to help reduce infections in facilities by increasing awareness of specific issues for facilities to focus on in their Quality Assurance and Performance Improvement process.

Infection Control Checklists (PDF) [ PDF file - 780.2 KB]

Project Partners

The National Opportunity To Improve Infection Control in ESRD (NOTICE) project is being conducted through a partnership that brings together subject matter experts and providers in the field. 

Project partners include:

  • Health Research and Educational Trust
  • University of Michigan – Kidney Epidemiology Cost Center
  • Renal Network of the Upper Midwest (Renal Network 11)
  • Southeastern Kidney Council, Inc. (Renal Network 6)
Page last reviewed December 2014
Internet Citation: AHRQ Safety Program for End-Stage Renal Disease Facilities. December 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/index.html