CN113470794A

CN113470794A - Calculation system and calculation method for hemodialysis quality control process

Info

Publication number: CN113470794A
Application number: CN202110752611.1A
Authority: CN
Inventors: 陈丽琴; 闵浩迪
Original assignee: Shenzhen Yuchen Medical Technology Co ltd
Current assignee: Shenzhen Yuchen Medical Technology Co ltd
Priority date: 2021-07-03
Filing date: 2021-07-03
Publication date: 2021-10-01

Abstract

The invention relates to a calculation system and a calculation method of a hemodialysis quality control process, wherein the system comprises the following modules: the quality control system comprises a data collection module, a quality control process control index calculation module and an evaluation module, wherein the quality control process control index calculation module is divided into the following components according to collected data: the system comprises a hemodialysis equipment control index calculation module, a newly-entered patient marker calculation module, a timing inspection index calculation module, a record completion rate calculation module and a morbidity statistic module; the data collection module distributes collected data collected by each collection mechanism to each module in the quality control process control index calculation module for calculation and statistics, and then inputs the data into the evaluation module for statistical analysis. The system is combined with a calculation method to carry out statistics and ratio calculation on each index of the hemodialysis quality control process, and then the score of each index is calculated, so that the quality control work and all-dimensional supervision of the indexes of the hemodialysis quality control process are met.

Description

Calculation system and calculation method for hemodialysis quality control process

Technical Field

The invention relates to the technical field of medical treatment, in particular to a calculation system and a calculation method for a hemodialysis quality control process.

Background

Blood Purification (Blood Purification) or Blood adsorption Therapy (TA), also called hemodialysis, is another option outside of medical therapy, which basically consists in drawing Blood through a special filter membrane, filtering the toxins or substances to be removed, and returning the Blood to the body. Blood purification therapy, which is an important and effective therapy for the treatment of diseases, is widely used.

In hemodialysis treatment, the success rate of hemodialysis treatment can be greatly increased undoubtedly by mastering the indexes of hemodialysis quality control process, but a plurality of information centers, hemodialysis rooms and independent hemodialysis centers of hospitals related to hemodialysis exist in various places at present, each acquisition mechanism operates independently and does not have a uniform quality control index, and therefore information of patients cannot be intercommunicated, and the information of the patients cannot be mastered at the first time.

Disclosure of Invention

The purpose of the invention is: providing a calculation system of hemodialysis quality control process for monitoring each data in hemodialysis process and calculating and counting the data so as to realize quality control work and supervision of hemodialysis quality control process; another object of the present invention is to provide a calculation method of the hemodialysis quality control process calculation system, which combines patient markers and equipment indexes to evaluate and supervise the collection institution.

The technical solution of the invention is as follows: a computing system for a hemodialysis quality control process, comprising: the quality control system comprises a data collection module, a quality control process control index calculation module and an evaluation module, wherein the quality control process control index calculation module is divided into the following components according to collected data: the system comprises a hemodialysis equipment control index calculation module, a newly-entered patient marker calculation module, a timing inspection index calculation module, a record completion rate calculation module and a morbidity statistic module;

the data collection module distributes collected data collected by each collection mechanism to each module in the quality control process control index calculation module for calculation and statistics, and then inputs the data into the evaluation module for statistical analysis.

Preferably, the method comprises the following steps: the data collection module comprises a cache database for collecting the collected information and outputting the collected information to the quality control process index calculation module, an index mapping group for forming a mapping relation between the data name and the index name, a data processing group for standardizing the data, and a standardized database for storing the standardized data.

A calculation method of a hemodialysis quality control process calculation system, characterized by comprising the steps of:

the method comprises the steps of setting a cache database, and collecting various data collected by each collection mechanism in an administration area into the cache database for storage;

according to the preset fields and the near-meaning words of the preset indexes, a word dictionary is omitted through the index mapping group, fuzzy matching is conducted on the word dictionary and the names of the data collected in the cache database, and the mapping relation between the data and the indexes is formed;

thirdly, grouping and tabulating the data forming the mapping relation by the data processing group, and then summarizing the data into a standardized database;

the quality control process control index calculation module is used for extracting data in the standardized database, and correspondingly inputting the data into the hemodialysis equipment control index calculation module, the newly-entered patient marker calculation module, the timing inspection index calculation module and the record completion rate calculation module for calculation;

fifthly, calculating the data to obtain the data ratio, and further calculating the score of each output data according to the ratio;

sixthly, the evaluation module summarizes the scores of all the data and outputs total scores and modification suggestions of all the data.

Preferably, the method comprises the following steps: step four in the index that the blood passes through in the equipment control index calculation module includes: the qualification rate of dialysis water and the execution rate of dialysate;

the qualification rate of the water for dialysis comprises the water quality monitoring execution rate of the water for dialysis, the execution rate of biological pollution test (bacterial culture) and the annual execution rate of biological pollutant (endotoxin) test;

the score calculation formula of the dialysis water quality monitoring execution rate is as follows:

the execution rate of the dialysis water quality monitoring is the number of times of monitoring each water quality index/the number of times of monitoring each water quality index in the same period multiplied by 100 percent;

wherein, the water quality monitoring for dialysis comprises monitoring the PH of pure water at least 1 time per month, culturing bacteria at the tail end of a reverse osmosis water pipeline at least 1 time per month, monitoring endotoxin at the tail end of the reverse osmosis water pipeline at least 1 time per 3 months, measuring chemical pollutants at least 1 time per year, and measuring the hardness of soft water and total chlorine at least 1 time per day, wherein the monitoring is finished once, the execution rate calculated according to a formula is equal to 100 percent and then is 1 point, and the execution rate calculated according to the formula is less than 100 percent and then is 0 point;

the score calculation formula of the execution rate of the biological contamination test (bacterial culture) is as follows:

preparing the annual execution rate of the water bacteria for dialysis, namely the number of times of the water bacteria for dialysis cultured/12 multiplied by 100%;

wherein the number of times of the water bacteria culture for dialysis is recorded as once a month, if the execution rate calculated according to the formula is equal to 100%, the volume is 1 point, and if the execution rate is less than 100%, the volume is 0 point;

the annual execution rate of the biological pollutant (endotoxin) test is calculated by the formula:

the annual execution rate of the dialysis water biological pollutant (endotoxin) test is equal to the number of times of the dialysis water endotoxin test/synchronization, and the number of times of the dialysis water bacteria culture is regulated according to the SOP or 4 × 100%;

wherein the number of times of endotoxin test for dialysis is recorded as one quarter, and if the execution rate calculated according to the formula is equal to 100%, the volume is 1 point, and if the execution rate is less than 100%, the volume is 0 point;

the dialysate execution rate comprises a bacteria culture execution rate and a liquid endotoxin test execution rate;

the score calculation formula of the bacterial culture execution rate is as follows:

the execution rate of the dialysate bacterial culture of the dialysis machine is equal to the number of cases of complete dialysate bacterial culture examination actually recorded by all the running dialysis machines/the number of cases of performing the dialysate bacterial culture in the same period multiplied by 100%;

in a statistical time period, integrating 1 point when the bacterial culture execution rate calculated according to a formula is equal to 100%, and integrating 0 point when the bacterial culture execution rate is less than 100%;

the score calculation formula of the liquid endotoxin test execution rate is as follows:

the dialysate endotoxin test execution rate of the dialysis machine is equal to the number of cases of completion of the dialysate endotoxin test actually recorded by the operation dialysis machine/the number of cases of performing the dialysate endotoxin test in the same period multiplied by 100 percent;

and (3) integrating 1 point when the execution rate of the liquid endotoxin test calculated according to a formula is equal to 100% and integrating 0 point when the execution rate is less than 100% in a statistical time period.

Preferably, the method comprises the following steps: in the step four, a score calculation formula of the newly-entered patient marker calculation module is as follows:

the number of newly-entered hemodialysis patients with blood-borne infectious disease markers/the number of all hemodialysis patients newly entered at the same time is multiplied by 100 percent;

the newly-entered patient markers comprise four markers of HIV, hepatitis B, hepatitis C and treponema pallidum, the newly-entered patient needs to complete the detection of the four markers at the same time to count 1 completion unit, and the score standard is that the ratio of the number of patients who complete the detection of the 4 standard substances to the total number of patients is multiplied by 100% and multiplied by 1.

Preferably, the method comprises the following steps: and step four, the timing inspection completion rate comprises an index timing detection completion rate and a marker timing detection marker.

Preferably, the method comprises the following steps: the index timing detection completion rate further comprises blood routine, blood biochemistry, serum ferritin, transferrin saturation, full-range parathyroid hormone, beta 2 microglobulin, serum prealbumin and C reactive protein;

the conventional and biochemical score calculation formula of the blood is as follows:

the completion rate of the regular test of the maintenance hemodialysis patients is equal to the number of the maintenance hemodialysis patients completing the regular test within 3 months/the number of the contemporary maintenance hemodialysis patients x 100%,

or: the completion rate of the regular test of the maintenance hemodialysis patient is equal to the actually recorded number of regular tests of the maintenance hemodialysis patient every 3 months/the number of routine tests of the blood of the maintenance hemodialysis patient which should be recorded at the same time multiplied by 100 percent;

wherein the interval between every two times of testing of the number of patients with maintenance hemodialysis is less than 3 months, the interval time is more than or equal to 3 months and is defined as incomplete, and the scores of the blood routine and the blood biochemical timing testing completion rate are respectively calculated according to the ratio of the number of the patients who complete the timing testing to the total number multiplied by 100% multiplied by 1;

the score calculation formula of the serum ferritin, the transferrin saturation, the full-segment parathyroid hormone, the beta 2 microglobulin, the serum prealbumin and the C reactive protein is as follows:

the completion rate of the regular test of the maintenance hemodialysis patients is equal to the number of the maintenance hemodialysis patients completing the regular test within 6 months/the number of the synchronous maintenance hemodialysis patients multiplied by 100 percent,

or: the periodic test completion rate of the maintenance hemodialysis patients is equal to the actually recorded number of times of completing 1 periodic test every 6 months/the total number of times of completing transferrin saturation tests recorded in all the maintenance hemodialysis at the same period is multiplied by 100%;

wherein patients who have been on hemodialysis for 6 months in the collection facility should have completed at least 1 timed test. The time interval of every two timing tests is more than or equal to 6 months, if the time interval is less than 12 months, the test is not finished, the scores of the timing test completion rates of serum ferritin, transferrin saturation, whole parathyroid hormone, beta 2 microglobulin, serum prealbumin and C reactive protein are respectively calculated according to the ratio of the number of patients who finish the timing test to the total number multiplied by 100% multiplied by 1, and each index score is divided into 1.

Preferably, the method comprises the following steps: the marker timing detection completion rate comprises a hepatitis B virus marker and a hepatitis C virus marker, and the score calculation formula is as follows:

the timing test completion rate of the blood-borne infectious disease marker of the maintenance hemodialysis patient is equal to the number of patients completing the blood-borne infectious disease marker test every 6 months/the total number of the patients with the same period of maintenance hemodialysis × 100%;

the timing test completion rate of the blood-borne infectious disease markers of the maintenance hemodialysis patients is recorded times of blood-borne infectious disease marker test of the maintenance hemodialysis patients/times of blood-borne infectious disease markers of all the maintenance hemodialysis patients in the same period multiplied by 100%;

wherein patients who have been on hemodialysis for 6 months in the collection facility should have completed at least 1 timed test. And (3) determining that the timing inspection is not finished when the time interval of every two timing inspections is more than or equal to 6 months, respectively calculating the score of the marker detection completion rate according to the ratio of the number of the patients who finish the timing inspection to the total number of the patients multiplied by 100% multiplied by 1, and dividing the score completion rate into 1 score.

Preferably, the method comprises the following steps: in the fourth step, the indexes of the recording completion rate calculation module include a urea removal index (Kt/v) and a Urea Reduction Rate (URR), and the score calculation mode is as follows:

urea clearance index (Kt/v) and urea decline rate (URR) for maintenance hemodialysis patients the number of maintenance hemodialysis patients completing the urea clearance index (Kt/v) and urea decline rate (URR) records within 6 months/number of contemporary maintenance hemodialysis patients x 100%;

or: urea clearance index (Kt/v) and urea decline rate (URR) timed recordings completion rate for maintenance hemodialysis patients-the number of times urea clearance index (Kt/v) and urea decline rate (URR) recordings should be completed 1 time every 6 months/total number of times urea clearance index (Kt/v) and urea decline rate (URR) recordings should be completed for all maintenance hemodialysis at the same time x 100%;

the urea clearance index (Kt/v) and the urea decline rate (URR) level should be recorded for at least 1 time within 6 months of each patient continuously hemodialysis, if the time interval between two recordings is more than or equal to 6 months, one recording is not finished, the time recording completion rate scores of the urea clearance index (Kt/v) and the urea decline rate (URR) are respectively calculated according to the ratio of the number of patients who finish the time detection of the urea clearance index (Kt/v) and the urea decline rate (URR) to the total number of patients multiplied by 100% multiplied by 1, and each index full score is 1.

Preferably, the method comprises the following steps: the morbidity rate counting module in the step four is used for counting the morbidity rates of hepatitis B and hepatitis C of the patient, and the score calculation mode is as follows:

the incidence of hepatitis B and hepatitis C in patients with maintenance hemodialysis, which is the number of newly increased hepatitis B and hepatitis C patients per year in patients with maintenance hemodialysis/the total number of patients with concurrent maintenance hemodialysis x 100%;

the incidence of hepatitis B and hepatitis C of the maintenance hemodialysis patient calculated according to a formula in a statistical time period is 1 point if the incidence is equal to 0 and 0 point if the incidence is greater than 0%, and the evaluation module outputs an early warning notice.

Compared with the prior art, the invention has the beneficial effects that:

the invention calculates the marker indexes and equipment indexes of each patient collected in the collection mechanism, calculates the ratio, converts the ratio into fractions, collects the fractions, monitors and prevents medical risks of each collection mechanism by analyzing each index in the hemodialysis quality control process, unifies each quality control index in the hemodialysis industry, improves the information construction of the hemodialysis industry mechanism, realizes the information intercommunication among the collection mechanisms and ensures the medical safety.

Drawings

FIG. 1 is a schematic block diagram of a computing system for a hemodialysis quality control process provided by the present invention;

FIG. 2 is a block flow diagram of a computing system provided by the present invention.

Detailed Description

The invention will be described in more detail below with reference to the accompanying drawings:

the first embodiment is as follows:

in a specific embodiment, the present invention first provides a first embodiment, a specific hemodialysis quality control system:

the following detailed description of the preferred embodiments of the present invention, taken in conjunction with the accompanying drawings, will make the advantages and features of the invention more readily understood by those skilled in the art, and thus will more clearly and distinctly define the scope of the invention. The directional terms used in the present invention, such as "up", "down", "front", "back", "left", "right", "top", "bottom", etc., refer to the directions of the attached drawings. Accordingly, the directional terms used are used for explanation and understanding of the present invention, and are not used for limiting the present invention.

Referring to fig. 1, a computing system for hemodialysis quality control process includes the following modules: the quality control system comprises a data collection module, a quality control process control index calculation module and an evaluation module, wherein the quality control process control index calculation module is divided into the following components according to collected data: the system comprises a hemodialysis equipment control index calculation module, a newly-entered patient marker calculation module, a timing inspection index calculation module, a record completion rate calculation module and a morbidity statistic module;

the data collection module distributes collected data collected by each collection mechanism to each module in the quality control process control index calculation module for calculation and statistics, and then inputs the data into the evaluation module for statistical analysis;

the data collection module comprises a cache database for collecting the collected information and outputting the collected information to the quality control process index calculation module, an index mapping group for forming a mapping relation between the data name and the index name, a data processing group for standardizing the data, and a standardized database for storing the standardized data. This system mainly used feeds back and follows up wisdom medical system's medical quality control condition to realize wisdom medical system's real time monitoring:

example two

The second embodiment provides a calculation method and a scoring criterion based on the first embodiment as follows:

referring to fig. 2, a calculation method of a calculation system of a hemodialysis quality control process includes the following steps:

Step four in the index that the blood passes through in the equipment control index calculation module includes: the qualification rate of dialysis water and the execution rate of dialysate;

In the step four, a score calculation formula of the newly-entered patient marker calculation module is as follows:

The timed inspection completion rate in the step four includes an index timed detection completion rate and a marker timed detection marker;

the index timing detection completion rate further comprises blood routine, blood biochemistry, serum ferritin, transferrin saturation, full-range parathyroid hormone, beta 2 microglobulin, serum prealbumin and C reactive protein;

a first calculation formula can be used in the cross section survey statistics, and a second calculation formula is used in the annual statistics;

the first calculation formula can be used for cross section survey statistics, and the second calculation formula is used for annual statistics;

The marker timing detection completion rate comprises a hepatitis B virus marker and a hepatitis C virus marker, and the score calculation formula is as follows:

In the fourth step, the indexes of the recording completion rate calculation module include a urea removal index (Kt/v) and a Urea Reduction Rate (URR), and the score calculation mode is as follows:

the first formula, which can be used as a cross-sectional survey of the urea clearance index (Kt/v) and urea decline rate (URR) of a maintenance hemodialysis patient at a certain point in time to complete the timed recording, is a special case of the second formula.

The morbidity rate counting module in the step four is used for counting the morbidity rates of hepatitis B and hepatitis C of the patient, and the score calculation mode is as follows:

Example three:

in this embodiment, the evaluation method of each index in the quality control process in the second embodiment is further improved:

in this embodiment, the system as in the first embodiment is adopted, the quality control process index is determined in the quality control process, and when the specific system calculates and processes, each index is respectively calculated in the following manner:

hemodialysis quality control process system

Dialysis water quality monitoring execution rate: the test times of each quality index of hemodialysis reverse osmosis water in the hemodialysis chamber (center) account for the proportion of the test times.

The water quality monitoring of the dialysis water comprises monitoring the PH of pure water at least 1 time per month, culturing bacteria at the tail end of a reverse osmosis water conveying pipeline at least 1 time per month, monitoring endotoxin at the tail end of the reverse osmosis water conveying pipeline at least 1 time per 3 months, measuring chemical pollutants at least 1 time per year, and measuring the hardness of soft water and total chlorine at least 1 time per day. The index is used for monitoring the management condition of the hemodialysis room (center) for ensuring the quality and safety of dialysis water.

Calculating the formula: the execution rate of the dialysis water quality monitoring is the number of times of monitoring each water quality index/the number of times of monitoring each water quality index in the same period multiplied by 100 percent; wherein the formula is used for the hemodialysis chamber (center), molecular: determining the denominator of times of various water quality index tests of the dialysis water in a certain period: determining the number of times that a hemodialysis chamber (center) is used for monitoring various water quality indexes according to the regulation of SOP in a time period

In the actual statistical process, statistics is generally carried out according to a natural year. And if the number of the natural years is less than 1, counting the execution rate according to the actual natural month. If the dialysis water test result is out of the normal range, the dialysis water needs to be timely processed and re-tested, and the execution rate can be more than 100%.

If the hemodialysis room (center) is provided with 2 sets or more than 2 sets of daily-used water treatment equipment, if the water treatment equipment is used simultaneously, the execution rate is respectively calculated according to the equipment 1 and the equipment 2, and the execution rate is uploaded to a quality control system according to a smaller one. If the device is used alternatively, the execution rate is not calculated according to the device. .

All records of the inspection, if not available from the Lis system, need to be manually filled in and the inspection report pictures uploaded.

[ Inclusion in groups ]

Number of times of examination of dialysis water for the water treatment apparatus being used.

[ exclude population ]

The examination of the dialysis water for the water treatment plant which is ready for use and not in use is self-determined by the respective centers and is not included in the statistics.

[ Specification of the denominator ]

Soft water hardness and total chlorine were counted monthly and yearly, and denominator was the corresponding number of days.

The bacteria number of the water for dialysis is counted quarterly and annually, and the denominator is the number of months.

The endotoxin level of the dialysis water was counted in accordance with the year, and the denominator was the number of natural seasons.

After the water treatment equipment is installed and water is introduced, the number of times of inspection is counted from the first inspection.

[ Inclusion in groups ]

Soft water

Reverse osmosis water

[ exclude population ]

Is free of

[ data elements ]

Hardness Total chlorine bacterial colony count

Endotoxin levels

pH value

Chemical contaminants

Dialysis water quality parameter checking time

Quality parameter inspection result of dialysis water

[ basic data set ]

Quality control of dialysis

[ data Collection method ]

If the port and the protocol of the water treatment equipment are opened, part of parameters can be directly read to the hemodialysis information system end and then uploaded.

If the port and protocol of the water treatment equipment are not acquired, the parameters of the dialysis water are manually filled by a hemodialysis room (center) engineer, and unfinished projects can be reminded according to the specified time to urge the completion of the projects.

If the bacterial culture result can be read from Lis, the data read by the hemodialysis system can be directly uploaded to a quality control system.

The inspection results which cannot be read from the LIS or obtained from the third-party inspection institution are manually filled in, and corresponding picture files are uploaded for checking.

Mechanisms for monitoring the quality of the dialysis water which is not completed in time, unfinished projects and overdue time are reflected on a quality control management system.

[ analytical advice ]

The pH value should be maintained in the normal range of 5-7, and the sampling part is at the reverse osmosis water outlet.

Bacteria counts of <100cfu/ml are required. The sampling part is the tail end of the reverse osmosis water conveying pipeline.

Endotoxin is required to be less than 0.25EU/ml, and the sampling part is the tail end of the reverse osmosis water conveying pipeline.

The hardness requirement is less than 17ppm, and the sampling part is at the hardness sampling port.

The total chlorine requirement is less than 0.1mg/L, and the sampling part is arranged at a reverse osmosis water outlet.

If the quality monitoring of the dialysis water is not qualified, the reason is found as soon as possible and is rechecked after being corrected in time until the quality is qualified. The result of the rechecking is not included in the calculation of the water quality monitoring execution rate any more. 2 consecutive failures require the hemodialysis room (center) and the related functional personnel, department or manufacturer to jointly search for the reason and modify it.

The modification reaches the qualified standard within a monitoring time window.

If the quality control system is not qualified for 3 times continuously, the quality control system takes the early warning as an early warning index.

Execution rate of biological contamination test (bacterial culture) for water for dialysis

[ quality control index set ] hemodialysis quality control index set

[ quality control index No. ] IIHAD-17(NEP-D-02)

[ DEFINITIONS ]

The number of bacterial cultures per 1 month of hemodialysis water in the hemodialysis room (center) is proportional to the number of tests required per year for SOP.

[ MEANS FOR solving PROBLEMS ]

Reflecting the condition of hemodialysis room (center) to ensure the quality management of water for dialysis.

[ INDICATOR SOURCE/DOCUMENT ]

Standard operating procedure 2020 edition for blood purification

The medical industry standard of the people's republic of China "hemodialysis and related Water for treatment" (YY0572-2015) has incidence and incidence

[ equation ]

The annual execution rate of the culture of the bacteria for dialysis is 12X 100%

[ rules of calculation ]

Molecule (a): the number of times of water bacteria culture for dialysis was determined over the period.

Denominator: the number of bacterial cultures to be completed with dialysis water was allocated in a fixed period according to the SOP regulations, 12 times per year.

[ molecular description ]

Dialysis was performed with the actual number of water bacteria cultures.

And calculating by correlating the uploaded test results.

The monitoring time window for the dialysis water bacterial culture is agreed to be each natural month, and the last day in each natural month is considered as a month in which the test is not completed if no test result exists. .

In the case where the bacterial culture was completed according to the SOP requirement in all months of 1 year, the number of cultures exceeded the SOP regulation, and the number of months of 2 extra times was counted as 1.

If the bacterial culture is not completed in a certain 1 month, the annual execution rate is 91.6 percent, and the bacterial cultures which are more than 1 time in other months are not accumulated.

[ Inclusion in groups ]

Completion rate of biological contaminant test (bacterial culture) of dialysis water actually completed in year

[ excluded population ].

If the bacteria culture result does not reach the standard in a certain 1 month, the quality requirement of the dialysis water is met by rechecking immediately after the reason is found and the correction is done as soon as possible, and if the rechecking result is not accumulated in the samples collected in the same month

[ Specification of the denominator ]

The number of times to be checked is accumulated monthly according to the specification of SOP, and is every natural month. There should be one test just before the beginning of the visit in the dialysis room (center). And counting according to the natural month from the 2 nd month.

[ Inclusion in groups ]

The number of times of biological contaminants (bacterial cultures) for dialysis was completed all year round.

[ exclude population ]

More than one test per month, no statistics were included.

[ data elements ]

Water bacteria culture for dialysis

Dialysis water quality parameter checking time

Biological contaminant for dialysis water

[ basic data set ]

Quality control of dialysis

[ data Collection method ]

If the dialysis water culture is self-checked by the medical treatment unit and can be read from the Lis of the unit, the water culture can be directly read from the system.

If the results of the water bacterial culture for dialysis were not read from the LIS, they were manually filled in cfu/ml. A picture of the original of the inspection result is uploaded.

[ analytical advice ]

The quality standard of the prepared concentrated solution and the prepared dialyzate is required to meet the current industry standard of hemodialysis and related treatment water.

Annual execution rate of biological pollutant (endotoxin) test for water for dialysis

[ quality control index set ] hemodialysis quality control index set

[ quality control index No. ] IIHAD-18(NEP-D-02)

[ DEFINITIONS ]

Hemodialysis room (center) dialysis uses water for endotoxin tests every 3 months in proportion to the number of tests required per year for SOP.

[ MEANS FOR solving PROBLEMS ]

Reflects the management condition of the hemodialysis room (center) for ensuring the quality and safety of the dialysate.

[ INDICATOR SOURCE/DOCUMENT ]

Standard operating procedure 2020 edition for blood purification

Standard of the medical industry of people's republic of China (hemodialysis and water for related treatments) ("YY 0572-2015)

[ equation ]

The annual execution rate of the test for biological contaminants (endotoxin) in water for dialysis-the number of tests for endotoxin in water for dialysis/the number of times of culture of water for dialysis in accordance with the SOP regulation or 4X 100%

[ rules of calculation ]

Molecule (a): the number of endotoxin tests on the dialysate was determined over the period.

Denominator: the time period was determined according to the SOP specification for the number of dialysis water endotoxin tests.

[ molecular description ]

The determined period is calculated according to the natural month.

And taking the first result in the current season as the calculation result. If the result of the 1 st time of a certain quarter is not qualified, the quarter is not qualified.

If the endotoxin test is not completed in a certain 1 natural quarter, the annual execution rate is 75%, and the endotoxin test with the number of other quarters being more than or equal to 1 is not counted.

[ Inclusion in groups ]

The dialysis chamber (center) completes the number of times of the dialysis water biological contaminant (endotoxin) test.

[ exclude population ]

The time of specimen collection for the review results did not include statistics for the dialysis water endotoxin test when the time of specimen collection did not span the quarterly.

Review results specimen collection times across quarters can be included as statistics of execution rates for the first test in this quarter.

[ Specification of the denominator ]

The endotoxin test in the water for dialysis was performed quarterly according to the SOP regulations, and 1 quarter was used as a statistical period.

The size of the denominator is determined by the actual month of the year in the newly opened dialysis room (center), and there should be 1 test result in a period of time of more than one quarter.

The denominator of the hemodialysis room (center) for 12 months of continuous treatment is 4.

The time interval for 2 examinations was < 3 natural months.

[ Inclusion in groups ]

All monthly parts of the test results were recorded.

[ exclude population ]

If the number of quarter tests in the hemodialysis chamber (center) is more than or equal to 1, the number is calculated according to 1.

[ data elements ]

Dialysis Water biocontamination (endotoxin) assay

Dialysis Water biological contaminant (endotoxin) test time

[ basic data set ]

Quality control of dialysis

[ data Collection method ]

If the dialysis water culture is self-tested by the medical unit and can be read from the Lis of the unit, the water culture is directly read from the system.

If the dialysis water culture results cannot be read from Lis, the manual filling is required, and the unit is EU/ml.

[ analytical advice ]

And when the execution rate does not reach 100%, the early warning index is used as an early warning index and is uploaded to a quality control management system.

Bacterial culture execution rate of dialysate of dialysis machine

[ quality control index set ] hemodialysis quality control index set

[ quality control index No. ] IIHAD-19

[ DEFINITIONS ]

The proportion of the cases of complete dialysate bacterial culture inspection actually recorded by operating a dialysis machine in a hemodialysis room (center) to the cases of dialysate bacterial culture to be always performed.

[ MEANS FOR solving PROBLEMS ]

Reflecting the disinfection management of the hemodialysis room (center) to the dialysis machine.

[ INDICATOR SOURCE/DOCUMENT ]

Standard operating procedure 2020 edition for blood purification

[ equation ]

The execution rate of the dialysate bacterial culture of the dialysis machine is equal to the number of cases of complete dialysate bacterial culture examination actually recorded by operating the dialysis machine/the number of cases of performing dialysate bacterial culture in the same period multiplied by 100%

[ rules of calculation ]

Molecule (a): time period was determined for all cases in which the dialysate culture actually recorded by the operating dialysis machine was completed.

Denominator: time period determination all cases where dialysate bacterial cultures should be performed.

[ molecular description ]

The maximum allowable level of standard dialysate bacterial culture is less than 100CFU/ml, and the intervention level is 50 CFU/ml; the maximum allowable level of ultra-pure dialysate for bacterial culture is less than 0.1 CFU/ml.

The dialysate bacterial culture allowance and intervention level for low-throughput dialysis were performed according to standard dialysate; high-throughput dialysis or hemodiafiltration is then performed on ultrapure dialysate.

The standard dialysate bacterial culture result is qualified, but if the intervention level is reached, timely intervention and rechecking are needed, if the rechecking is not carried out within 30 days, the intervention measure is considered not to be carried out, and the statistical time period is 1 time, and no test is carried out.

In a natural year statistics, according to a natural month, the time interval between the first examination of the year and the last examination of the previous year must be less than or equal to 12 months, one dialysis machine at least completes 1 time of dialysate bacterial culture within 1 year, and if the time interval is more than 12 months, the dialysis machine is considered to be not executed for 1 time of the year.

Each dialysis machine has a unique number, and the same dialysis bed can be distinguished when the dialysis machine is updated or replaced within the year.

[ Inclusion in groups ]

Hemodialysis (center) dialysis machines that perform dialysate bacterial culture all the year round.

And (5) counting the bacterial culture execution rate of the dialysate in the year when the dialysis machine which is newly replaced and put into use is included.

The interval between the first and last examination of the year was > 12 months, defined as 1 non-execution. This examination is considered as an active examination inclusion statistic.

Active checks mean that the test is not rejected or is reviewed within 30 days after reaching the intervention level, and active test cases > 1 are also included in the statistics.

If the scrapped dialysis machine in the year has the scrapped time and the time interval of the bacterial culture examination of the dialysate in the last year is less than 12 months, all the examinations are included into the statistics even if the dialysis machine with the number in the year is scrapped.

[ exclude population ]

The dialysis machine discarded in this year is not examined as an example of an unexecuted test if the interval between the discard time and the last year of the dialysis liquid bacterial culture examination is less than 12 months.

The bacteria culture of the dialysate of a certain dialysis machine fails or reaches the intervention level, but the dialysis machine is scrapped within 30 days, and the bacteria culture of the dialysate is not carried out in the period, and the bacteria culture of the dialysate is not taken as a sample of the non-performed test.

[ Specification of the denominator ]

Taking 1 natural year as a statistical time interval, and performing statistics according to a natural month.

The annual total dialysate bacteria culture case is the case of all used dialyzers in the year, the number of newly increased dialyzers in the year, the number of discarded dialyzers in the year, all cases of active inspection and the case of disqualification of dialysate bacteria culture or the case of inspection when the intervention level is more than or equal to 30 days. Dialysis machine cases that have been rejected this year but the dialysate bacterial culture test and the last test of the last year with a time interval of <1 year and no test performed-dialysate bacterial culture test not qualified or with an intervention level of < 30 days for review but during which the dialysis machine cases are rejected

The serial number of dialysis included in the statistics cannot be higher than the number of approved beds by the health administration.

If the dialysis machines in the dialysis beds of the annual dialysis room (center) are replaced or updated for some reason, the number of dialysis machines that should be actually checked exceeds the number of approved beds.

The actual bed discharge of the hemodialysis room (center) is reduced or the number of approved dialysis beds is increased, and statistics are carried out according to the number of the patients in the current year in the actual dialysis machines. The dialysis machine which is newly put into use must have a qualified test result before being put into use.

[ Inclusion in groups ]

The test results of hemodialysis machines used in the same year and not scrapped are included in statistics.

The dialysis machines scrapped in the year, if the test results are completed in the specified time, are included in the statistics.

[ exclude population ]

If the dialysis machine scrapped in the year is cultured for less than 1 year before the last time of last year and is not checked in the year, the statistics of the annual test cases are not included.

This test case of dialysis machines with a dialysis machine dialysate bacterial culture test that fails or reaches the intervention level, which should be reviewed within 30 days and scrapped in the interim, was not included in the statistics.

[ data elements ]

Unique number of dialysis machine

Dialysis machine tool digital dialysis machine total station number dialysate bacterial culture result dialysate quality each parameter inspection time dialysate quality each parameter inspection result dialysis equipment high flux dialysis low flux dialysis

[ basic data set ]

Quality control of dialysis

[ data Collection method ]

If the dialysate culture is self-tested by the medical unit and can be read from the unit's LIS, it is read directly.

If the results of the dialysate culture cannot be read from the LIS, the manual filling is required, and the picture of the test results is uploaded locally as a corroboration.

If the result is provided by a third-party testing organization, the picture of the third-party testing result is manually filled in and uploaded on the hemodialysis management system to be used as a witness.

[ analytical advice ]

The dialysis machine of the hemodialysis room (center) newly opened in the year should complete one time of dialysate bacterial culture before use and put into treatment after negative culture. The check-out date display is required prior to administrative review.

The time window for the tests should be determined according to the SOP regulations, suggesting a more even arrangement of tests for all dialysis machines according to months and divisions. And the system uploads data to the quality control management system 12 months and 31 days before the current year.

The dialysate bacteria culture inspection is unqualified, and the dialysis machine is not required to be used for treating the patient before the result of the reinspection after the intervention is qualified; the dialysate bacterial culture reaches the intervention level, and the results are uploaded to a quality control management system as supervision data within 30 days without intervention and rechecking.

The hemodialysis filter is defined as a standard for executing ultrapure dialysate in a local business system, and if a common dialysis machine is high-pass dialysis to which a dialysis doctor orders a high-pass dialyzer, the dialysis machine is executed according to the ultrapure dialysate standard, and other dialysis machines are executed according to the standard dialysate standard.

Dialyser dialysate endotoxin test execution rate

[ quality control index set ] hemodialysis quality control index set

[ quality control index number ] IIHAD-20

[ DEFINITIONS ]

The proportion of the cases of complete dialysate endotoxin test actually recorded by operating a dialysis machine in a hemodialysis chamber (center) to the cases of dialysate endotoxin test to be always performed.

[ MEANS FOR solving PROBLEMS ]

[ INDICATOR SOURCE/DOCUMENT ]

Standard operating procedure 2020 edition for blood purification

[ equation ]

The execution rate of the dialysate endotoxin test of the dialysis machine is equal to the number of cases in which the dialysate endotoxin test actually recorded by the operation dialysis machine is completed/the number of cases in which the dialysate endotoxin test should be performed in the same period is 100 percent

[ rules of calculation ]

Molecule (a): time period all the cases of completion of endotoxin tests of the dialysate actually recorded by operating the dialysis machine were determined.

Denominator: time period determination all cases where dialysate endotoxin tests should be performed.

[ molecular description ]

The maximum allowable level of endotoxin test of standard dialysate is less than 100CFU/ml, and the intervention level is 50 CFU/ml; the maximum allowable level of ultra-pure dialysate for bacterial culture is less than 0.1 CFU/ml.

The maximum allowable level of endotoxin in standard dialysate is less than 0ml, and the intervention level is 0.25 EU/ml; the maximum allowable endotoxin test level of the ultrapure dialysate is less than 0.03 EU/ml.

The maximum allowable endotoxin values and intervention levels for low-throughput dialysis are performed against standard dialysate; high-throughput dialysis or hemodiafiltration is then performed on ultrapure dialysate.

And if the standard dialysate endotoxin test result is qualified, but the intervention level is reached, timely intervention and rechecking are carried out, if the rechecking is not carried out within 30 days, the intervention measure is considered not to be carried out, and the statistical time interval is 1, and the test is not carried out.

In a natural year statistics, according to a natural month, the time interval between the first examination of the year and the last examination of the previous year is less than or equal to 12 months, one dialysis machine completes at least 1 dialysis liquid endotoxin test within 1 year, and if the time interval is more than 12 months, the dialysis machine is considered to be not executed for 1 time of the year.

[ Inclusion in groups ]

Hemodialysis (center) dialysis machines that performed endotoxin testing of dialysate in the current year.

The new dialysis machine that was put into service was included in the endotoxin test performance statistics for that year.

And (4) taking the newly replaced dialysis machine into account the statistics of the endotoxin test execution rate of the dialysis liquid in the year.

If the interval between the scrapping time and the time interval of the fine endotoxin test of the dialysate in the previous year is less than 12 months, all the tests are included in the statistics even if the number dialysis machine is scrapped in the previous year.

[ exclude population ]

If the interval between the scrapping time and the last year of the endotoxin test of the dialysate is less than 12 months, the dialysis machine scrapped in the year is not checked in the period, and the test is not performed as a case.

The endotoxin test of the dialysate of a certain dialysis machine fails or reaches the intervention level, but the dialysis machine is scrapped within 30 days, and the endotoxin test of the dialysate is not carried out in the period, and is not taken as a case of non-performed test.

[ Specification of the denominator ]

The annual total dialysate endotoxin test case is the case that all used dialyzers in the year + newly increased dialyzers in the year + discarded dialyzers in the year + all active tests are performed + the case that the dialysate endotoxin test is unqualified or the intervention level is more than or equal to 30 days and the case that the dialysate endotoxin test is required to be checked. Dialysis machine cases with spent dialysis machine endotoxin test and last test interval of <1 year of last year and no test performed in the current year, dialysis machine cases with rejected dialysis machine endotoxin test or intervention level < 30 days as review but spent dialysis machine cases in the current period

[ Inclusion in groups ]

[ exclude population ]

If the last qualified endotoxin test of the dialysate is less than 1 year before the dialysis machine discarded in the year, and the dialysate is not checked in the year, the statistics of the annual test cases are not included.

This test case of a dialysis machine with a dialysis machine dialysate endotoxin test failing or reaching the intervention level, which should be reviewed within 30 days and discarded in the interim, was not included in the statistics.

[ data elements ]

Dialysis machine unique number dialysis machine total number dialysis endotoxin test result dialysate quality each parameter test time dialysate quality each parameter test result dialysis equipment high flux dialysis low flux dialysis

[ basic data set ]

Quality control of dialysis

[ data Collection method ]

If the dialysate endotoxin test is self-test by the medical unit and can be read from the unit's LIS, it is read directly.

If the results of the dialysate endotoxin test cannot be read from the LIS, they need to be manually filled in and pictures of the test results uploaded locally as a corroboration.

[ analytical advice ]

The dialysis machine of the hemodialysis room (center) newly opened in the year should complete one-time dialysate endotoxin test before use, and put into treatment after the result is qualified. The check-out date display is required prior to administrative review.

The endotoxin of the dialysate is not qualified, and the dialysis machine is not required to be used for treating the patient before the result of the reinspection after the intervention is qualified; and (4) when the endotoxin in the dialysate reaches the intervention level, the dialysate is not subjected to intervention and has a rechecking result within 30 days, and the dialysate is used as supervision data to be uploaded to a quality control management system.

Test completion rate of blood-borne infectious disease markers of newly-entered hemodialysis patients

[ quality control index set ] hemodialysis quality control index set

[ quality control index No. ] IIHAD-21(NEP-D-03)

[ DEFINITIONS ]

Newly enter hemodialysis patients to complete the quantity proportion of patients tested by the blood-borne infectious disease markers.

[ MEANS FOR solving PROBLEMS ]

Reflecting the management of infection control in hemodialysis patients in hemodialysis rooms (centers) and medical facilities in the area.

[ INDICATOR SOURCE/DOCUMENT ] NEW-UP

[ equation ]

The test completion rate of the blood-borne infectious disease marker of the newly-entered hemodialysis patient is equal to the number of the blood-borne infectious disease markers of the newly-entered hemodialysis patient/the number of all the newly-entered hemodialysis patients in the same period multiplied by 100 percent

The test completion rate of the blood-borne infectious disease markers of newly-entered hemodialysis patients is equal to the test quantity of the blood-borne infectious disease markers of newly-entered hemodialysis patients/the test quantity of the blood-borne infectious disease markers of all newly-entered hemodialysis patients in the same period multiplied by 100 percent

[ rules of calculation ]

Blood permeable room (center)

Molecule (a): the number of newly added hemodialysis patients introduced after the blood-borne infectious disease marker test is completed in an annual hemodialysis room (center).

Denominator: the total number of all newly entered hemodialysis patients in the hemodialysis room (center) at the same time.

In the region

Molecule (a): the number of newly added hemodialysis patients who are introduced after the blood-borne infectious disease marker test is completed within the range of the annual region.

Denominator: the total number of all newly entered hemodialysis patients within the contemporaneous region.

[ molecular description ]

For specific contents of hepatitis B and hepatitis C virus marker tests, see "standard operating protocol 2020 edition for blood purification

The blood-borne infectious disease marker tests comprise four pathogenic antibody tests of hepatitis B, hepatitis C, syphilis and AIDS, and the four markers are completed simultaneously.

If a patient is on a hemodialysis session in another hemodialysis room (center) after the dialysis is terminated or suspended in one hemodialysis room, and is currently returned to the original hemodialysis unit, the blood-borne infectious disease markers must still be re-tested.

After the dialysis is terminated or suspended for a period of time defined as leaving the original dialysis room (center), it is confirmed that the patient returns to the original dialysis institution after another hemodialysis room (center) completes more than 1 dialysis treatment, and a distinction can be made on the hemodialysis management system as to whether the patient is requested to complete the treatment at another dialysis institution.

If the patient has been tested for the markers of blood-borne infectious diseases within 3 months but has not been treated for hemodialysis and transfusion in any hemodialysis unit, the test within 3 months is counted as the test of the markers of blood-borne infectious diseases newly entered into the patient, and the patient must be reviewed within a schedule of 3 months from the last test.

If newly-entered patients are found not to test blood borne infectious disease markers, the quality control system can trace back which dialysis machine positions a hemodialysis room (center) has dialyzed.

All patients were enrolled and tested for blood borne infectious disease markers.

The number of times that dialysis patients newly enter a dialysis room (center) in the regional area to check the blood-borne infectious disease markers does not need to check the blood-borne infectious disease markers through identification numbers.

[ exclude population ]

Is free of

[ Specification of the denominator ]

The statistical time interval is 1 natural year generally, less than 1 natural year, and the statistics is carried out according to the actual months of the natural years.

Maintenance hemodialysis patients should re-test blood borne infectious disease markers after returning to the original hemodialysis unit for a period of time to another dialysis center hemodialysis treatment for various reasons.

Since there is a case where one patient resumes dialysis again after one dialysis unit withdraws dialysis, the denominator is greater than or equal to the total number of newly entered patients.

[ Inclusion in groups ]

All the registered hemodialysis patients are included and the patients who quit the original dialysis unit midway and then recover the dialysis in the original dialysis unit.

Some dialysis units have emergency dialysis machines, the beds of which are usually open, meaning that dialysis is performed before there is no blood-borne infectious disease marker result and hemodialysis treatment is performed, which is counted as not performing the index.

All persons who should be tested for markers of blood-borne infectious diseases should be denominated within the region.

[ data elements ]

Maintenance hemodialysis patient

Registering hemodialysis patients

The number of newly-enrolled patients

[ basic data set ]

Quality control of hemodialysis

[ data Collection method ]

Since the blood borne infectious disease markers may need to be reviewed, if the newly entered patient has several test results before dialysis, the data read should be the test data updated by Lis the latest time from the time of newly entering and resuming dialysis.

In order to avoid the condition that the patient enters a dialysis room (center) for dialysis treatment without blood-borne infectious disease marker examination, a local system is provided with a limit that the patient can not arrange a regular dialysis bed without recording or synchronizing the blood-borne infectious disease marker examination result.

Some dialysis units have emergency dialysis machines, the beds of which are usually open, meaning that dialysis beds are performed and hemodialysis treatment is performed before there is no blood borne infectious disease marker result, and blood borne infectious disease marker tests must be performed before the patient enters a conventional dialysis area.

[ analytical advice ]

Is free of

Completion rate of routine blood timing tests for maintenance hemodialysis patients

[ quality control index set ] hemodialysis quality control index set

[ quality control index No. ] IIHAD-22

[ DEFINITIONS ]

Proportion of routine blood tests completed by maintenance hemodialysis patients every 3 months.

[ MEANS FOR solving PROBLEMS ]

Reflecting the medical quality management condition of the hemodialysis room (center).

[ INDICATOR SOURCE/DOCUMENT ] NEW-UP

[ equation ]

The completion rate of the blood routine time test of the maintenance hemodialysis patients is equal to the number of the maintenance hemodialysis patients completing the blood routine test within 3 months/the number of the contemporary maintenance hemodialysis patients multiplied by 100%

The blood routine time test completion rate of the maintenance hemodialysis patients is equal to the actual recorded number of blood routine tests of the maintenance hemodialysis patients every 3 months/the number of blood routine tests of the maintenance hemodialysis patients recorded at the same period multiplied by 100 percent

[ rules of calculation ]

Blood permeable room (center)

Molecule (a): number of routine tests of the actual recorded blood of a maintenance hemodialysis patient in a hemodialysis room (center) over a period of time.

Denominator: the number of routine tests of the blood of all the maintenance hemodialysis patients recorded in the hemodialysis room (center) at the same period.

In the region

Molecule (a): the number of routine tests of the actual recorded blood of a maintenance hemodialysis patient in a regional hemodialysis room (center) over a period of time.

Denominator: the number of routine tests of all the maintenance hemodialysis patients blood recorded in the range of the contemporaneous region.

[ molecular description ]

In statistics of the completion rate of regular tests in patients with maintenance hemodialysis, the interval between every 2 tests is < 3 months, and 1 incomplete test is defined if the interval between 2 tests is > 3 months.

The test times recorded actually refer to the test times finished according to the rule that the time interval of every 2 tests is less than 3 months in the test times recorded according to the rule of the denominator, and are not the times of the actual tests of the patient.

[ Inclusion in groups ]

The number of completed routine tests of blood in every 3 months within the time period was counted.

[ exclude population ]

A maintenance hemodialysis patient in the present hemodialysis room (center) does not complete the test within the schedule, which does not include statistics of the rate of completion, but for some reason exits the dialysis treatment in the dialysis facility.

[ Specification of the denominator ]

1 month is defined as 31 days, 3 months as a schedule, 93 days.

And (3) calculating the completion rate of the regular test of the maintenance hemodialysis patient in a period of time, wherein a progress is calculated according to the time interval of every 3 months in the statistical period, and the time interval of every 2 tests is less than 3 months.

If multiple testing results exist in one time schedule, only 1 time is counted, the last testing result in the time schedule is recorded when the control rate is counted, and the time for recording the last testing result in the time schedule is taken as the starting time point of the next time schedule.

If the test result is not recorded in the schedule, 93 days after the previous schedule is taken as the starting point of the next schedule.

If the current year and the previous year have time continuity according to the annual statistics, the recorded first test result of the current year is within the last progress of the previous year. The first time of year schedule deadline time is not 3 months and 31 days.

The maintenance hemodialysis patients who were newly introduced after continuous dialysis for 3 months in the hemodialysis room (center) were re-entered into the statistics, but the schedule was calculated according to the time of introduction.

[ Inclusion in groups ]

Hemodialysis patients who continued dialysis for 3 months included statistics.

The maintenance hemodialysis patient discontinues dialysis for any reason < 3 months, resumes dialysis at the dialysis unit still according to the maintenance dialysis patient admission statistics, if > 3 months the patient resumes dialysis at the unit for 3 months, then the unit maintenance hemodialysis patient admission statistics are called.

[ exclude population ]

1 patient had a test of 3 months or more due to discontinuation of dialysis in that unit, and the discontinuation time was not included in the statistics.

If the dialysis treatment of the maintenance hemodialysis patient is suspended in the current dialysis room (center) for any reason for more than 3 months, the completion rate is recalculated after resuming dialysis interrupted, but if the withdrawal time does not exceed 3 months, the statistics are still continuously performed. If the outside yard has already checked in the progress, the quality control system should check the statistics in the progress after repeating according to the identity card.

[ data elements ]

Maintenance hemodialysis patient

Concentration of hemoglobin

Routine blood test

[ basic data set ]

And controlling dialysis quality. .

[ data Collection method ]

The examination of the patient's hemoglobin is read on the medical institution LIS.

And setting a checking progress on a local hemodialysis management system, and judging whether the checking progress is finished within a specified progress by hemodialysis management software or judging whether the checking progress is finished within the specified progress or not by a hemodialysis quality control system after the Lis original data is obtained.

[ analytical advice ]

Is free of

Completion rate of blood biochemical timing tests for maintenance hemodialysis patients

[ quality control index set ] hemodialysis quality control index set

[ quality control index No. ] IIHAD-23

[ DEFINITIONS ]

The proportion of blood biochemical (including liver and kidney function, electrolyte, blood fat and the like) tests to be completed by the patient with maintenance hemodialysis every 3 months.

[ MEANS FOR solving PROBLEMS ]

[ INDICATOR SOURCE/DOCUMENT ] NEW-UP

[ equation ]

The completion rate of blood biochemical timing test of the maintenance hemodialysis patients is equal to the number of the maintenance hemodialysis patients completing the blood biochemical test within 3 months/the number of the maintenance hemodialysis patients in the same period x 100%

The blood biochemical timing test completion rate of the maintenance hemodialysis patient is equal to the actually recorded blood biochemical test times of the maintenance hemodialysis patient/the blood biochemical test times of the maintenance hemodialysis patient recorded at the same period multiplied by 100 percent

A first formula may be used for cross-sectional survey statistics and a second formula may be used for annual statistics.

[ rules of calculation ]

Blood permeable room (center)

Molecule (a): number of actual recorded maintenance hemodialysis patient blood biochemical tests every 3 months in an annual or real-time hemodialysis room (center).

Denominator: the number of biochemical tests of the blood of the maintenance hemodialysis patient should be recorded in the hemodialysis room (center) at the same period.

In the region

Molecule (a): number of actual recorded blood biochemical tests of maintenance hemodialysis patients every 3 months in a hemodialysis room (center) in an annual or real-time area.

Denominator: the number of blood biochemical tests of the maintenance hemodialysis patients should be recorded in the hemodialysis room (center) in the range of the contemporaneous region.

[ molecular description ]

The blood biochemical project comprises the steps of collecting serum to test glutamic-pyruvic transaminase, glutamic-oxalacetic transaminase, urea nitrogen, uric acid, potassium, sodium, calcium, phosphorus, glucose, triglyceride and total cholesterol.

Blood biochemistry contains more contents, and the specific examination items contained in each examination item of different medical institutions are different.

Statistics of the completion rate of the timed tests of annual maintenance hemodialysis patients, with time intervals of < 3 months for each 2 tests. If the time interval between 2 tests is more than or equal to 3 months and less than 6 months, the test is defined as 1 incomplete test

[ Inclusion in groups ]

The number of persons who completed the blood biochemical test within 3 months of the test schedule at a certain time point.

The number of 1 blood biochemical tests per 3 months was completed within a certain period of time.

[ exclude population ]

Maintenance hemodialysis patients in the present hemodialysis room (center) did not complete the test within the present schedule but for some reason exited the dialysis unit, the schedule does not incorporate statistics of the completion rate.

[ Specification of the denominator ]

1 month is defined as 31 days, 3 months as a schedule, 93 days.

And (3) calculating the timing test completion rate of the annual maintenance hemodialysis patients, counting the number of the maintenance hemodialysis patients who complete the test in 4 schedules within 1 natural year, and enabling the interval of every 2 tests to be less than 3 months.

Statistics of the year and the last year have a temporal continuity, and the recorded first test result of the year is within the last progress of the last year. The first time of year schedule deadline time is not 3 months and 31 days.

The maintenance hemodialysis patients who entered the new patients after 3 months of continuous dialysis in the hemodialysis room (center) were re-entered into the statistics, and the schedule was calculated according to the time of introduction.

If a maintenance hemodialysis patient suspends dialysis treatment in the current dialysis room (center) for any reason during the course of more than 3 months and resumes dialysis again, the completion rate is recalculated, but if 3 months are not exceeded, statistics are continuously performed.

[ Inclusion in groups ]

Hemodialysis patients who continued dialysis for 3 months included statistics.

1 maintenance hemodialysis patient interrupted dialysis for < 3 months in any event, resumed dialysis at the dialysis unit still according to the maintenance dialysis patient intake statistics, if > 3 months the patient was again dialyzed at the unit for 3 months, then the unit maintenance hemodialysis patient intake statistics is called.

[ exclude population ]

[ data elements ]

Maintenance hemodialysis patient

Biochemical blood test

[ basic data set ]

Quality control of dialysis

[ data Collection method ]

The biochemical tests of the patient's blood are read on the medical institution LIS.

[ analytical advice ]

Is free of

Timed test completion rate of transferrin saturation in maintenance hemodialysis patients

[ quality control index set ] hemodialysis quality control index set

[ quality control index No. ] IIHAD-24

[ DEFINITIONS ]

The proportion of transferrin saturation test that a patient should complete on maintenance hemodialysis every 6 months.

[ MEANS FOR solving PROBLEMS ]

[ INDICATOR SOURCE/DOCUMENT ] NEW-UP

[ equation ]

Transferrin saturation timed test completion rate of maintenance hemodialysis patients ═ number of maintenance hemodialysis patients who completed transferrin saturation test within 6 months/number of contemporary maintenance hemodialysis patients × 100%

Serum transferrin saturation timed test completion rate of maintenance hemodialysis patients ═ the number of actual recordings of transferrin saturation completed 1 time every 6 months/the total number of completed transferrin saturation tests recorded for all maintenance hemodialysis sessions × 100%

[ rules of calculation ]

Blood permeable room (center)

Molecule (a): number of transferrin saturation completed every 6 months actually recorded annually or in real time in the hemodialysis room (center).

Denominator: total number of completed transferrin saturation tests recorded for all maintenance hemodialysis sessions in the same session or real-time hemodialysis room (center).

In the region

Molecule (a): the number of transferrin saturations completed every 6 months actually recorded by the hemodialysis compartment (center) in the region of the year or month.

Denominator: the total number of transferrin saturation tests that should be performed for all maintenance hemodialysis sessions in the hemodialysis compartment (center) over the same period of time.

[ molecular description ]

Transferrin saturation test refers to the ratio of serum iron to transferrin concentration (total iron binding capacity), and some health care units do not directly distribute the calculation of transferrin saturation in Lis and need to be calculated by physicians. It is suggested that the local system has simple calculation formula to automatically or manually input and then automatically obtain the result to input into the system.

The patient should be tested for at least 1 blood transferrin saturation for 6 months of continuous hemodialysis in a certain hemodialysis room (center). The time interval is more than or equal to 6 months, and the time interval is less than 12 months, the completion is considered to be completed once.

Each patient should have a time schedule of 6-month examination, if the patient is rechecked within 6 months, the schedule time is recalculated, and the recorded completion time is based on the time of the last examination result in the schedule. The time schedule is accurate to days.

The numerator of the real-time transferrin saturation completion rate is counted as the number of patients completed within this schedule.

The patient records 1 incomplete year if the test is incomplete within the completion schedule of the patient's blood transferrin saturation test.

The maintenance hemodialysis patients who entered the new patients after continuous dialysis for 3 months in the hemodialysis room (center) were counted, but the incomplete tests within 3 months were not considered as incomplete, and the statistics of the test completion rate were counted from the beginning of the month the patients were introduced.

The completion rate of the year in the year statistics is related to the time for completion of the previous year, and if 1 test completed in the year is more than or equal to 6 months according to the progress calculation of the previous year, the year is still considered as incomplete. The 1 test completed after 6 months was considered as the next example completed, and the starting time was recalculated with the 6 th month of the previous schedule as the starting time point.

During annual statistics, if the original maintenance hemodialysis patient pauses the dialysis treatment in the current dialysis room (center) for various reasons, if the month is not more than 3 months, the statistics are continuously performed. If the time is more than or equal to 3 months, recalculating according to the newly entered patient, and calculating the progress of the next test according to the reintroduction time.

[ Inclusion in groups ]

The number of people who completed the transferrin saturation test every 6 months within the test schedule at a certain time point.

The number of transferrin saturation tests was completed 1 time every 3 months over a certain period of time.

[ exclude population ]

The results of the test were obtained in patients who did not complete the serum ferritin test in the hemodialysis room (center) but who for some reason had withdrawn the dialysis unit within 6 months.

[ Specification of the denominator ]

The system schedule is 1 month calculated according to 31 days, and the test result is 6 months as the deadline of the test. The statistics are according to the month, so that the statistics are actually not completed until the progress exceeds about 1 week without a test result. The number of tests that should be performed per patient per year cannot be less than 2, and due to the difference between the 31-day per month schedule and the natural month, the 2 nd test is by default completed 12 and 31 days before the year if only 1 test is required for this year.

The number of times of transferrin saturation regular test of hemodialysis patients in hemodialysis room (center) is completed within 12 months, namely the number of test results recorded by patients who continuously perform dialysis treatment in a dialysis room (center) for 12 months + (the number of patients who newly enter the hemodialysis treatment in the current year and are cumulatively maintained for more than or equal to 6 months < 12 months x 2-the patient who newly enters the hemodialysis treatment in the current year and is cumulatively maintained for more than or equal to 6 months < 12 months and only records 1 test result + the patient who records the hemodialysis treatment in the hemodialysis patient in the current year and has less than 6 months and also records 1 test result.

Newly entered patients include patients who are newly entered in the present year or who have been under 6 months from the last half year of the previous year after the introduction of dialysis treatment.

And judging whether the last progress check result of the previous year is recorded in the next year, if so, taking the last result of the previous year as the starting time point of the progress of the current year, and calculating the progress time cut-off point of the cross-year in the current year to be used as the check to be completed in the current year. The results should be recorded 2 or 3 times in this year.

In real-time statistics, patients who are new in < 6 months are not considered incomplete if they have not completed the test, but incorporate the statistics of the denominator if they have completed the test.

If the time between 2 tests is 6 months or more, the patient leaves the hemodialysis room (center) after the test should be completed, and the patient still included the test that was completed 1 time.

Continuous calculation is possible if the patient is withdrawn after 1 test but resumes dialysis within 3 months. And recalculating for more than 3 months.

The newly-entered patient is tested within 6 months, the test frequency is 1 time, the test frequency of the patient within 6 months and less than 12 months is 1 to 2 times, and the test is completed within a specified time period according to whether the test is completed within the second time.

[ Inclusion in groups ]

Hemodialysis patients who completed 1 transferrin saturation test for 3 months of continuous dialysis and hemodialysis patients who had been continuously dialyzed for 6 months were included.

1 maintenance hemodialysis patient discontinued dialysis for any event < 6 months and resumed dialysis at that dialysis unit still according to maintenance dialysis patient inclusion statistics.

If the patient is dialyzed for more than 6 months again in the unit for 3 months, the patient is called the maintenance hemodialysis patient inclusion statistic of the unit.

[ exclude population ]

The transferrin saturation test is not completed in the newly-inserted patients with the maintenance hemodialysis for less than 6 months, and the statistics of the completion rate of the transferrin saturation test are not temporarily included in the part of the patients.

[ data elements ]

Serum iron total iron binding force detected by transferrin saturation of maintenance hemodialysis patient

[ basic data set ]

Quality control of dialysis

[ data Collection method ]

The transferrin saturation test is the ratio of serum iron to transferrin binding force, some medical units do not issue the calculation result of transferrin saturation in the LIS, need manual calculation, can match the two tests of serum iron and transferrin binding force in the LIS, and upload the result after automatic calculation in a local hemodialysis management system.

And (4) setting the transferrin saturation degree test progress on a local hemodialysis management system, and counting according to the rule.

[ analytical advice ]

Is free of

Serum ferritin timed test completion rate for maintenance hemodialysis patients

[ quality control index set ] hemodialysis quality control index set

[ quality control index No. ] IIHAD-25

[ DEFINITIONS ]

The proportion of maintenance hemodialysis patients who should complete a serum ferritin test every 6 months.

[ MEANS FOR solving PROBLEMS ]

[ INDICATOR SOURCE/DOCUMENT ] NEW-UP

[ equation ]

The rate of completion of the serum ferritin timed test in the maintenance hemodialysis patients was 100% of the number of maintenance hemodialysis patients who completed the serum ferritin test within 6 months/the number of contemporary maintenance hemodialysis patients

Serum ferritin timed test completion rate for patients on prolonged hemodialysis-the actual recorded number of serum ferritin completions every 6 months/total number of completed serum ferritin tests recorded for all persistent hemodialysis sessions × 100%

[ rules of calculation ]

Blood permeable room (center)

Molecule (a): the number of serum ferritin completed every 6 months in the annual or real time hemodialysis room (center).

Denominator: total number of completed serum ferritin tests recorded for all maintenance hemodialysis sessions at the same time.

In the region

Molecule (a): the number of serum ferritin completed every 6 months in the hemodialysis compartment (center) in the annual or monthly region was 1.

Denominator: total number of completed serum ferritin tests recorded for all maintenance hemodialysis sessions in the same session area.

[ molecular description ]

Patients should be tested for at least 1 serum ferritin test for 6 months of continuous hemodialysis in a hemodialysis room (center). The time interval is more than or equal to 6 months, and the time interval is less than 12 months, the completion is considered to be completed once.

The patient records 1 incomplete year if the test is incomplete within the completion schedule of the patient's serum ferritin test.

The completion rate of the year in the year statistics is related to the time of completion of the previous year, and if the 1 test completed in the year is more than or equal to 6 months according to the progress of the previous year, the test is still considered as incomplete. The 1 test completed after 6 months was considered as the next example of completion, and the starting time was recalculated with the 6 th month of the previous schedule as the starting time point.

[ Inclusion in groups ]

The number of persons who completed the serum ferritin test every 6 months within the test schedule at a certain time point.

The number of 1 serum ferritin tests per 6 months was completed within a certain time period.

[ exclude population ]

[ Specification of the denominator ]

The system schedule is 1 month calculated according to 31 days, and the test result is 6 months as the deadline of the test. The statistics are according to the month, so that the statistics are actually not completed until the progress exceeds about 1 week without a test result. The number of tests that should be performed per patient per year cannot be less than 2, since the difference between the 31-day monthly schedule and the natural month is such that if only 1 test is required for this year, the 2 nd test is by default completed 12 and 31 days before this year.

The number of times of serum ferritin regular test of hemodialysis patients in hemodialysis room (center) should be completed within the year is the number of times of test results recorded by patients who continuously perform dialysis treatment in a dialysis room (center) for 12 months + (the number of patients who newly enter the hemodialysis treatment in the year and accumulated for maintenance therapy is more than or equal to 6 months and less than 12 months x 2-the number of patients who newly enter the hemodialysis treatment in the year and accumulated for maintenance therapy is more than or equal to 6 months and less than 12 months and only record 1 test result + the hemodialysis treatment of the hemodialysis patients in the year and accumulated for 1 test result.

The newly-entered patient is tested within less than 6 months, the test is performed for 1 time, the test is performed for 1 to 2 times for patients with more than 6 months and less than 12 months, and the test is completed within a specified time period according to whether the test is performed for the second time.

[ Inclusion in groups ]

Hemodialysis patients who completed 1 serum ferritin test for 3 months of continuous dialysis and hemodialysis patients who had been continuously dialyzed for 6 months were included.

[ exclude population ]

Newly entered patients with maintenance hemodialysis do not complete the serum ferritin test for less than 6 months of continuous dialysis, and the patients in this group are temporarily not included in the statistics of the completion rate of the serum ferritin test.

[ data elements ]

Maintenance hemodialysis patient

And (5) serum ferritin test.

[ basic data set ]

Quality control of dialysis

[ data Collection method ]

Serum ferritin assay records may be obtained in the LIS.

[ analytical advice ]

Is free of

Whole-phase parathyroid hormone (iPTH) timing test completion rate of maintenance hemodialysis patients

[ quality control index set ] hemodialysis quality control index set

[ quality control index No. ] IIHAD-26

[ DEFINITIONS ]

The proportion of patients on maintenance hemodialysis that should complete the full-scale parathyroid hormone (iPTH) test every 6 months.

[ MEANS FOR solving PROBLEMS ]

[ INDICATOR SOURCE/DOCUMENT ] NEW-UP

[ equation ]

The complete rate of the whole parathyroid hormone (iPTH) timing test of the maintenance hemodialysis patients is equal to the number of the maintenance hemodialysis patients completing the whole parathyroid hormone (iPTH) test within 6 months/the number of the contemporary maintenance hemodialysis patients multiplied by 100%

The complete rate of the whole parathyroid hormone (iPTH) timing test of the maintenance hemodialysis patients is equal to the actually recorded times of completing 1 whole parathyroid hormone (iPTH) test every 6 months/the total times of completing the whole parathyroid hormone (iPTH) test recorded in all the maintenance hemodialysis at the same period x 100%

The first formula can be used as a cross-sectional survey of the time point of completion of the iPTH timed test for a maintenance hemodialysis patient, which is a special case of the second formula.

[ rules of calculation ]

Blood permeable room (center)

Molecule (a): number of complete parathyroid hormone (iPTH) tests within 6 months recorded by annual or real-time hemodialysis chamber (central) maintenance hemodialysis patients.

Denominator: contemporaneous or real-time contemporaneous hemodialysis chamber (center) total number of whole parathyroid hormone (iPTH) tests that all maintenance hemodialysis should be completed.

In the region

Molecule (a): number of complete parathyroid hormone (iPTH) tests within 6 months recorded for all maintenance hemodialysis patients in the annual or real-time region.

Denominator: total number of complete parathyroid hormone (iPTH) tests that all maintenance hemodialysis should complete in the same period or real-time zone.

[ molecular description ]

According to the annual statistics, 1 month is calculated according to 31 days.

Each patient should have a 6 month check-out schedule on the local hemodialysis management system, and if the check-out is done within 6 months, the schedule is recalculated to the exact day.

Patients should be tested for at least 1 full-range parathyroid hormone (iPTH) level within 6 months of continuous hemodialysis in a hemodialysis chamber (center). If the patient completes a plurality of tests within a time schedule after the data is actually recorded, only the last test data in the time schedule is included as the recorded data of the completion rate and the control rate.

The real-time full-length parathyroid hormone (iPTH) completion rate molecules are counted in number of patients completed within the last schedule.

If the patient does not complete the complete progress of the whole parathyroid hormone (iPTH) test, the patient records 1 incomplete time in the year, the time span between 2 tests is less than 6 months, and 1 incomplete time is considered when the time span is more than 6 months.

The newly entered patients were counted for inclusion after 3 months of continuous dialysis in the hemodialysis room (center), but incomplete tests were not considered incomplete within 3 months, and the statistics of the test completion rate were calculated starting on the day of patient enrollment.

The completion rate of the year in the year statistics is related to the time of completion of the previous year, and if the time of the first test completed in the year is more than or equal to 6 months according to the progress of the previous year, the test is considered as incomplete. And the recorded completion check time is used as the starting point of the next completion time to recalculate the progress.

[ Inclusion in groups ]

The number of persons who completed the full-scale parathyroid hormone (iPTH) test every 3 months within the test schedule at a certain time point.

The number of complete parathyroid hormone (iPTH) tests completed every 3 months for a certain period of time.

[ exclude population ]

Test results for patients who did not complete the iPTH test in the home hemodialysis room (center) but for some reason had exited the dialysis unit within 6 months.

[ Specification of the denominator ]

The number of times that the whole-stage parathyroid hormone (iPTH) regular test of the hemodialysis patient in the hemodialysis room (center) should be completed within the year is the number of times that the patient continuously dialyzes and treats 12 months in the dialysis room (center) and records the test result + (the number of the patients newly entering the accumulative hemodialysis treatment of the maintenance in the year is more than or equal to 6 months and less than 12 months x 2-the patient newly entering the accumulative hemodialysis treatment of the maintenance in the year is more than or equal to 6 months and less than 12 months and only records 1 test result + the patient newly entering the hemodialysis treatment of the maintenance patient in the year is less than 6 months and records 1 test result.

If the patient is withdrawn after 1 test, but the dialysis is resumed within 3 months, the calculation can be continued. And recalculating for more than 3 months.

[ Inclusion in groups ]

Patients who had undergone 1 complete parathyroid hormone (iPTH) test in continuous dialysis for 3 months or more and less than 6 months and patients who had undergone continuous dialysis for 6 months or more, regardless of whether the test was completed or not, were included in the statistics.

1 maintenance hemodialysis patient did not stop dialysis for more than 3 months due to any event, and resumed dialysis at that dialysis unit still according to the maintenance dialysis patient inclusion statistics. If the patient is dialyzed for more than 3 months again in the unit for 3 months, the patient is called the maintenance hemodialysis patient inclusion statistic of the unit.

[ exclude population ]

Newly entered patients with maintenance hemodialysis who had not completed the complete parathyroid hormone (IPTH) test for < 6 months on continuous dialysis, were not enrolled in statistics of the completion rate of the complete parathyroid hormone (IPTH) test.

[ data elements ]

Maintenance hemodialysis patient

Whole-stage Parathyroid hormone (iPTH) assay

[ basic data set ]

And controlling dialysis quality.

[ data Collection method ]

Full-length parathyroid hormone (iPTH) assay records can be obtained at Lis.

[ analytical advice ]

Is free of

Serum prealbumin timed test completion rate for maintenance hemodialysis patients

[ quality control index set ] hemodialysis quality control index set

[ quality control index No. ] IIHAD-27

[ DEFINITIONS ]

Maintenance hemodialysis patients should complete the serum prealbumin test every 6 months.

[ MEANS FOR solving PROBLEMS ]

[ INDICATOR SOURCE/DOCUMENT ] NEW-UP

[ equation ]

The serum prealbumin timed test completion rate of the maintenance hemodialysis patients is equal to the number of maintenance hemodialysis patients completing the serum prealbumin test within 6 months/the number of contemporary maintenance hemodialysis patients multiplied by 100%

Serum prealbumin timed test completion rate for maintenance hemodialysis patients-the number of actually recorded 1 serum prealbumin test completed every 6 months/total number of completed serum prealbumin tests recorded for all maintenance hemodialysis sessions × 100%

The first formula can be used as a cross-sectional survey of the time point of completion of the timed test for serum prealbumin in a maintenance hemodialysis patient, and is a special case of the second formula.

[ rules of calculation ]

Blood permeable room (center)

Molecule (a): number of serum prealbumin tests completed within 6 months recorded by year or real-time hemodialysis laboratory (central) maintenance hemodialysis patients.

Denominator: contemporaneous or real-time contemporaneous hemodialysis chamber (center) total number of serum prealbumin tests that should be completed for all maintenance hemodialysis.

In the region

Molecule (a): number of serum prealbumin tests completed within 6 months recorded for all maintenance hemodialysis patients in the annual or real-time domain.

Denominator: total number of serum prealbumin tests that should be completed for all maintenance hemodialysis in the same period or real-time zone.

[ molecular description ]

According to the annual statistics, 1 month is calculated according to 31 days.

The patient should be tested for serum prealbumin levels at least 1 time within 6 months of continuous hemodialysis in a hemodialysis chamber (center). If the patient completes a plurality of tests within a time schedule after the data is actually recorded, only the last test data in the time schedule is included as the recorded data of the completion rate and the control rate.

The molecules of the real-time serum prealbumin completion rate are counted as the number of patients completed within the last schedule.

If the patient does not complete the test within the completion schedule of the serum prealbumin test of the patient, the patient records 1 time incomplete in the year, the time span between 2 tests is less than 6 months, and the patient is considered as incomplete for more than 6 months.

[ Inclusion in groups ]

The number of persons who completed the serum prealbumin test every 6 months within the schedule of the test at a certain time point.

The number of 1 routine tests of serum prealbumin completed every 6 months within a certain period of time.

[ exclude population ]

The results of the test were obtained in 6 months from patients who did not complete the serum prealbumin test in the hemodialysis room (center) but who for some reason had exited the dialysis unit.

[ Specification of the denominator ]

The number of times that serum prealbumin of hemodialysis room (center) maintenance hemodialysis patients should be completed within a fixed time test year is equal to the number of times that test results should be recorded by patients who continuously perform dialysis treatment in a dialysis room (center) for 12 months + (the number of patients who newly enter the current year and have accumulated maintenance hemodialysis treatment more than or equal to 6 months < 12 months x 2-the number of patients who newly enter the current year and have accumulated maintenance hemodialysis treatment more than or equal to 6 months < 12 months and only record 1 test result + the patients who have recorded hemodialysis treatment of the current year and have recorded 1 test result.

[ Inclusion in groups ]

Patients who had undergone 1 serum prealbumin test for a period of continuous dialysis of 3 months or more and less than 6 months and patients who had undergone hemodialysis for a period of 6 months or more, regardless of whether the test was completed or not, were included in the study.

1 maintenance hemodialysis patient interrupted dialysis for < 3 months in any event, and resumed dialysis at that dialysis unit still according to the maintenance dialysis patient inclusion statistics. If the patient is dialyzed for more than 3 months again in the unit for 3 months, the patient is called the maintenance hemodialysis patient inclusion statistic of the unit.

[ exclude population ]

Newly entered maintenance hemodialysis patients who have continued dialysis for < 6 months have not completed the serum prealbumin test and are temporarily not enrolled in the statistics of the rate of completion of the serum prealbumin test.

[ data elements ]

Maintenance hemodialysis patient

Serum prealbumin assay

[ basic data set ]

And controlling dialysis quality.

[ data Collection method ]

Serum prealbumin assay records may be obtained at Lis.

The serum prealbumin test progress is set on the local hemodialysis management system and counted according to the above rules.

[ analytical advice ]

Is free of

Completion rate of C-reactive protein (CRP) timed assay for maintenance hemodialysis patients

[ quality control index set ] hemodialysis quality control index set

[ quality control index No. ] IIHAD-28

[ DEFINITIONS ]

The proportion of patients on maintenance hemodialysis that should complete the CRP test every 6 months.

[ MEANS FOR solving PROBLEMS ]

Reflecting the management of the patient's micro-inflammatory state in the hemodialysis compartment (center).

[ INDICATOR SOURCE/DOCUMENT ] NEW-UP

[ equation ]

The rate of completion of C-reactive protein (CRP) timed test in maintenance hemodialysis patients ═ 100% of the number of maintenance hemodialysis patients who completed C-reactive protein (CRP) test within 6 months/the number of contemporary maintenance hemodialysis patients

The rate of completion of C-reactive protein (CRP) timed tests in maintenance hemodialysis patients-the actual number of completed serum C-reactive protein (CRP) tests recorded every 6 months/the total number of completed C-reactive protein (CRP) tests recorded for all maintenance hemodialysis sessions at the same time-100%

The first formula can be used as a cross-sectional survey of the time point of completion of the C-reactive protein (CRP) timed test of a maintenance hemodialysis patient, and is a special case of the second formula)

[ rules of calculation ]

Blood permeable room (center)

Molecule (a): number of C-reactive protein (CRP) tests completed within 6 months recorded by year or real-time hemodialysis room (central) maintenance hemodialysis patients.

Denominator: contemporaneous or real-time contemporaneous hemodialysis room (center) total number of C-reactive protein (CRP) tests that all maintenance hemodialysis should be completed.

In the region

Molecule (a): number of completed C-reactive protein (CRP) tests within 6 months recorded for all maintenance hemodialysis patients in the annual or real time domain.

Denominator: total number of C-reactive protein (CRP) tests that should be completed for all maintenance hemodialysis in the same period or real-time zone.

[ molecular description ]

According to the annual statistics, 1 month is calculated according to 31 days.

Patients should be tested for at least 1C-reactive protein (CRP) level within 6 months of continuous hemodialysis in a hemodialysis room (center). If the patient completes a plurality of tests within a time schedule after the data is actually recorded, only the last test data in the time schedule is included as the recorded data of the completion rate and the control rate.

The real-time C-reactive protein (CRP) completion rate molecules are counted as the number of patients completed within the last schedule.

If the patient does not complete the test within the completion schedule of the C-reactive protein (CRP) test of the patient, the patient records 1 incomplete time in the year, the time span between 2 tests is less than 6 months, and the patient is considered as incomplete for more than 6 months.

[ Inclusion in groups ]

The number of persons who completed the CRP test every 6 months within the test schedule at a certain time point.

The number of 1 CRP tests per 6 months completed within a certain period of time.

[ exclude population ]

Test results for patients who did not complete the CRP test in the hemodialysis room (center) but who for some reason had exited the dialysis unit within 6 months.

[ Specification of the denominator ]

Hemodialysis room (center) maintenance hemodialysis patient C-reactive protein (CRP) is completed within a fixed time year, namely the number of times of test results which are recorded by patients who are continuously dialyzed in a dialysis room (center) for 12 months + (the number of patients who newly enter the annual accumulative maintenance hemodialysis treatment is more than or equal to 6 months and less than 12 months multiplied by 2-the patient who newly enter the annual accumulative maintenance hemodialysis treatment is more than or equal to 6 months and less than 12 months, only 1 test result is recorded, and the patient who enters the annual maintenance hemodialysis patient hemodialysis treatment is less than 6 months and 1 test result is recorded.

[ Inclusion in groups ]

Patients who had undergone 1C-reactive protein (CRP) test for 3 months or more and less than 6 months of continuous dialysis and patients who had undergone 6 months of continuous dialysis were included in the statistics.

[ exclude population ]

Newly entered patients with maintenance hemodialysis who had not completed the C-reactive protein (CRP) test for as long as < 6 months of continuous dialysis had not included statistics on the rate of completion of the C-reactive protein (CRP) test.

[ data elements ]

Maintenance hemodialysis patient

C-reactive protein (CRP) assay

[ basic data set ]

And controlling dialysis quality.

[ data Collection method ]

C-reactive protein (CRP) assay records may be obtained at Lis.

[ analytical advice ]

Is free of

Beta 2 microglobulin timing test completion rate for maintenance hemodialysis patients

[ quality control index set ] hemodialysis quality control index set

[ quality control index No. ] IIHAD-29

[ DEFINITIONS ]

The proportion of β 2 microglobulin should be completed by maintenance hemodialysis patients every 6 months.

[ MEANS FOR solving PROBLEMS ]

Reflecting the monitoring condition of chronic complications of the hemodialysis center.

[ INDICATOR SOURCE/DOCUMENT ] NEW-UP

[ equation ]

The completion rate of the beta 2 microglobulin timed test of the maintenance hemodialysis patients is equal to the number of maintenance hemodialysis patients completing the beta 2 microglobulin test within 6 months/the number of contemporary maintenance hemodialysis patients multiplied by 100%

The beta 2 microglobulin timing test completion rate of the maintenance hemodialysis patients is the actual recorded number of beta 2 microglobulin completions every 6 months/total number of completed beta 2 microglobulin tests recorded for all maintenance hemodialysis sessions × 100%

The first formula can be used as a cross-sectional survey of the time point of completion of the beta 2 microglobulin timing test in a maintenance hemodialysis patient, which is a special case of the second formula.

[ rules of calculation ]

Blood permeable room (center)

Molecule (a): number of beta 2 microglobulin tests completed within 6 months recorded by year or real time hemodialysis room (central) maintenance hemodialysis patients.

Denominator: contemporaneous or real-time contemporaneous hemodialysis chamber (center) is the total number of beta 2 microglobulin tests that should be completed by all maintenance hemodialysis.

In the region

Molecule (a): number of beta 2 microglobulin tests completed within 6 months recorded for all maintenance hemodialysis patients in the annual or real-time domain.

Denominator: total number of beta 2 microglobulin tests that should be completed for all maintenance hemodialysis in the same period or real time zone.

[ molecular description ]

According to the annual statistics, 1 month is calculated according to 31 days.

Patients should be tested for β 2 microglobulin levels at least 1 time within 6 months of continuous hemodialysis in a certain hemodialysis room (center). If the patient completes a plurality of tests within a time schedule after the data is actually recorded, only the last test data in the time schedule is included as the recorded data of the completion rate and the control rate.

The molecules of the real-time beta 2 microglobulin completion rate are counted as the number of patients completed within the last schedule.

If the examination is not completed, the patient records 1 time in the year if the examination is not completed within the completion progress of the beta 2 microglobulin examination of the patient, the time span between 2 examinations is less than 6 months, and the patient is considered as not completed for 1 month or more than 6 months.

[ Inclusion in groups ]

The number of persons who completed the β 2 microglobulin assay every 6 months within the assay schedule at a certain time point.

The number of beta 2 microglobulin tests completed every 6 months within a certain time period.

[ exclude population ]

Test results for patients who did not complete the β 2 microglobulin test in the hemodialysis compartment (center) within 6 months but who for some reason had withdrawn the dialysis unit.

[ Specification of the denominator ]

Hemodialysis room (center) maintenance hemodialysis patient beta 2 microglobulin regular test is completed within year which is the number of test results recorded by patients continuously dialyzing and treating for 12 months in a dialysis room (center) + (the number of patients newly entering the current year accumulated maintenance hemodialysis treatment is more than or equal to 6 months < 12 months x 2-the patient newly entering the current year accumulated maintenance hemodialysis treatment is more than or equal to 6 months < 12 months and only 1 test result is recorded within the current year accumulated maintenance hemodialysis treatment is more than or equal to 6 months < 12 months + the patient of the current year hemodialysis patient hemodialysis treatment is less than 6 months and records 1 test result.

[ Inclusion in groups ]

Patients who have undergone 1 beta 2 microglobulin test in continuous dialysis for more than 3 months and less than 6 months and patients who have undergone continuous dialysis for more than 6 months, regardless of whether the test is completed or not, are included in statistics.

[ exclude population ]

Newly entered patients with maintenance hemodialysis who have continued dialysis for < 6 months have not completed the β 2 microglobulin test and are temporarily not enrolled in the statistics of the rate of completion of the β 2 microglobulin test.

[ data elements ]

Maintenance hemodialysis patient

Beta 2 microglobulin assay

[ basic data set ]

And controlling dialysis quality.

[ data Collection method ]

The beta 2 microglobulin assay record may be obtained at Lis.

[ analytical advice ]

Is free of

Urea clearance index (Kt/V) and urea decline rate (URR) timed record completion rates for maintenance hemodialysis patients

[ quality control index set ] hemodialysis quality control index set

[ quality control index No. ] IIHAD-30

[ DEFINITIONS ]

Proportion of Kt/V and URR timed recordings completed by maintenance hemodialysis patients every 6 months

[ MEANS FOR solving PROBLEMS ]

Reflecting the adequacy and quality management of the dialysis treatment of the hemodialysis center.

[ INDICATOR SOURCE/DOCUMENT ] NEW-UP

[ equation ]

Urea clearance index (Kt/v) and urea decline rate (URR) for maintenance hemodialysis patients the number of maintenance hemodialysis patients completing the urea clearance index (Kt/v) and urea decline rate (URR) records within 6 months/number of contemporary maintenance hemodialysis patients x 100%, (Kt/v) and urea decline rate (URR) records

Urea clearance index (Kt/v) and urea decline rate (URR) timed recordings completion rates for maintenance hemodialysis patients-the number of urea clearance index (Kt/v) and urea decline rate (URR) recordings completed 1 time every 6 months/the total number of urea clearance index (Kt/v) and urea decline rate (URR) recordings that should be completed for all maintenance hemodialysis sessions at the same time x 100%

[ rules of calculation ]

Blood permeable room (center)

Molecule (a): number of records of urea clearance index (Kt/v) and Urea Reduction Rate (URR) completed within 6 months recorded by year or real-time hemodialysis room (central) maintenance hemodialysis patients.

Denominator: contemporaneous or real-time contemporaneous hemodialysis room (center) total number of urea clearance index (Kt/v) and urea decline rate (URR) records that all maintenance hemodialysis should be completed.

In the region

Molecule (a): number of completed urea clearance index (Kt/v) and urea decline rate (URR) records within 6 months recorded for all maintenance hemodialysis patients in the annual or real-time region.

Denominator: total number of urea clearance index (Kt/v) and urea decline rate (URR) records that should be completed for all maintenance hemodialysis in the same period or real-time zone.

[ molecular description ]

According to the annual statistics, 1 month is calculated according to 31 days.

The patient should record urea clearance index (Kt/v) and urea decline rate (URR) levels for at least 1 time within 6 months of continuous hemodialysis in a hemodialysis room (center). If the patient completes a plurality of records within a time schedule after the data is actually recorded, only the last record data within the time schedule is included as the recorded data of the completion rate and the control rate.

The numerator of the real-time urea clearance index (Kt/v) and urea decline rate (URR) completion rate is counted as the number of patients completed within the last schedule.

If the test is not completed within the test completion schedule of the urea clearance index (Kt/v) and the urea decline rate (URR) of the patient, the patient records for the year for 1 time, the time span between 2 records is less than 6 months, and the record is regarded as not completed for more than 6 months.

The admission statistics of newly entered patients after 3 months of continuous dialysis in the hemodialysis room (center) but not considered incomplete for the incomplete test within 3 months, the statistics of the completion rate of the recordings were calculated starting on the day of patient enrollment.

[ Inclusion in groups ]

The number of persons who completed Kt/V and URR tests every 6 months within the test schedule at a certain time point.

Number of Kt/V and URR tests completed every 6 months within a certain time period.

[ exclude population ]

Test results for patients who did not complete the Kt/V and URR tests in the local hemodialysis room (center) but who for some reason had withdrawn the dialysis unit within 6 months.

[ Specification of the denominator ]

The number of times that the hemodialysis room (center) maintenance hemodialysis patient should finish urea removal index (Kt/v) and urea decline rate (URR) regularly records the number of times that the patient should record the test results for 12 months of continuous dialysis treatment in a dialysis room (center) + (the number of patients who newly enter the current year accumulated maintenance hemodialysis treatment is more than or equal to 6 months and less than 12 months x 2-the patient who newly enters the current year accumulated maintenance hemodialysis treatment is more than or equal to 6 months and less than 12 months and only records 1 test result + the patient who records 1 test result for the current year hemodialysis patient in the current year hemodialysis treatment and less than 6 months.

[ Inclusion in groups ]

Hemodialysis patients who completed 1 urea clearance index (Kt/v) and urea decline rate (URR) record for more than 3 months < 6 months of continuous dialysis and hemodialysis for more than 6 months of continuous dialysis were included in the statistics regardless of whether the records were completed.

[ exclude population ]

The newly entered maintenance hemodialysis patients who had not completed urea clearance index (Kt/v) and urea decline rate (URR) records for a while after continuous dialysis for < 6 months did not include statistics on the completion rate of urea clearance index (Kt/v) and urea decline rate (URR) records.

[ data elements ]

Maintenance hemodialysis patient

Urea clearance index (Kt/v) and Urea Reduction Rate (URR) records

[ basic data set ]

And controlling dialysis quality.

[ data Collection method ]

The Kt/V and URR records may be automatically calculated by the hemodialysis management system obtaining the data needed for the calculation on the LIS, or may be obtained by linking the hemodialysis machine through the hemodialysis management system through the OCM function of the hemodialysis machine, or manually filled in by medical personnel during the workflow after being read by the OCM function on the hemodialysis machine.

The urea removal index (Kt/v) and Urea Reduction Rate (URR) are set on the local hemodialysis management system, and the progress is recorded and counted according to the above rules.

[ analytical advice ]

Is free of

Incidence of hepatitis B and hepatitis C in patients undergoing maintenance hemodialysis

[ quality control index set ] hemodialysis quality control index set

[ quality control index No. ] IIHAD-31

[ DEFINITIONS ]

The proportion of maintenance hemodialysis patients with hepatitis b and hepatitis c occurs newly every year.

[ MEANS FOR solving PROBLEMS ]

Reflecting the hospital infection management situation of the medical institution.

[ INDICATOR SOURCE/DOCUMENT ] NEW-UP

[ equation ]

The incidence of hepatitis B and hepatitis C in patients with maintenance hemodialysis is 100 percent of the number of newly increased hepatitis B and hepatitis C patients per year in patients with maintenance hemodialysis per total number of patients with concurrent maintenance hemodialysis

[ rules of calculation ]

Blood permeable room (center)

Molecule (a): the number of patients with hepatitis B and hepatitis C increases every year in the hemodialysis room (center).

Denominator: total number of concurrent maintenance hemodialysis patients.

In the region

Molecule (a): regional hemodialysis rooms (centers) have a new number of patients with hepatitis b and hepatitis c denominators each year: total number of maintenance hemodialysis patients in the contemporaneous region. .

[ molecular description ]

According to natural seasons and natural years.

The new patients include patients who have been newly enrolled for 3 months in the quarter or year or who have been tested by the original maintenance hemodialysis patients for hepatitis B and hepatitis C markers that switch from negative to positive.

The quarterly or annually increasing patients dialyzed in the isolation area are considered to be newly increased hepatitis b and hepatitis c maintenance hemodialysis patients. The judgment of newly added patients is not judged by a blood-borne infectious disease marker because the situation that the virus copy number is changed to negative can be taken as the misjudgment prevention.

The incidence of hepatitis B and hepatitis C in patients with maintenance hemodialysis can be separately counted.

[ Inclusion in groups ]

All new patients were isolated from hemodialysis in the hemodialysis compartment (central) hepatitis b and hepatitis c areas.

The new patients who were newly added in the last year are 3 months old in the present year, but the patients who had quit in the present year are also included in the statistics of newly added patients in the present year.

[ exclude population ]

Patients who are positive for hepatitis C antibody and negative for HCV-RNA dialyzed against a relatively fixed bed in a non-isolated area are excluded.

A newly entered hemodialysis patient has begun to maintain dialysis in a local area where a calculation of annual incidence rates requires that the patient be within the year of the present calculation when dialysis in the hemodialysis room or area has been performed for up to 3 months. If the above condition is not met, no statistics are included.

[ Specification of the denominator ]

The hemodialysis room (center) is counted by the year that the patient should be admitted to the unit year maintenance hemodialysis patient for 3 months after the unit continuous dialysis, whether the new time is in the current year or not.

Check the repetition in the region according to the ID card, and count the dialysis age of regular hemodialysis in the region for 3 months.

[ Inclusion in groups ]

Hemodialysis room (central) all maintenance hemodialysis patients in the area.

The stay on hemodialysis patients leave the dialysis room (center) or the area within a statistical quarter and remain counted as stay on hemodialysis patients for that quarter.

If the maintenance hemodialysis patient exits the hemodialysis room (center) or area for various reasons during the year or season, the dialysis institution is still taking statistics.

[ exclude population ]

Is free of

[ data elements ]

Maintenance hemodialysis patient

Blood borne infectious disease marker for hemodialysis patient

[ basic data set ]

Quality control of dialysis

[ data Collection method ]

Calculated from data entered on the hemodialysis management system.

[ analytical advice ]

Is free of

Timed test completion rate of blood-borne infectious disease markers of maintenance hemodialysis patients

[ quality control index set ] hemodialysis quality control index set

[ quality control index No. ] IIHAD-32(NEP-D-04)

[ DEFINITIONS ]

The proportion of patients on maintenance hemodialysis who completed the test for markers of blood-borne infectious diseases was completed every 6 months. (national health professional medical quality control index of Commission Kidney disease)

Maintenance hemodialysis patients complete a ratio of the number of patients tested for the blood-borne infectious disease marker to the number of times they should be tested.

[ MEANS FOR solving PROBLEMS ]

Reflecting the infection management situation of the medical institution hospital.

[ INDICATOR SOURCE/DOCUMENT ] NEW-UP

[ equation ]

The timing test completion rate of the blood-borne infectious disease marker of the maintenance hemodialysis patients is equal to the number of patients completing the blood-borne infectious disease marker test every 6 months/the total number of the maintenance hemodialysis patients at the same period is multiplied by 100 percent

The blood-borne infectious disease marker timing test completion rate of the maintenance hemodialysis patients is recorded as the blood-borne infectious disease marker test times of the maintenance hemodialysis patients/the blood-borne infectious disease markers of all the maintenance hemodialysis patients in the same period multiplied by 100 percent

[ rules of calculation ]

Blood permeable room (center)

Molecule (a): number of times actually recorded for blood borne infectious disease marker tests of annual hemodialysis room (central) maintenance hemodialysis patients.

Denominator: number of times all blood borne infectious disease markers of maintenance hemodialysis patients in the same period hemodialysis room (center) should be tested

[ molecular description ]

For specific test of hepatitis B and hepatitis C virus markers, see "standard operating protocol for blood purification (SOP)", (2020

The blood-borne infectious disease marker tests of patients with maintenance hemodialysis comprise four pathogen antibody tests of hepatitis B, hepatitis C, syphilis and AIDS.

On the basis of the four statistics, each blood permeable chamber blood-borne infectious disease marker is respectively counted, and if 1 item is absent, the blood-borne marker is not tested completely.

The 1 st test for blood borne infectious disease markers every 6 months was calculated from the time the patient was enrolled when new.

If 1 patient is on dialysis treatment in other hemodialysis rooms (centers) within a period of time after dialysis is terminated in one hemodialysis room, the patient returns to the original hemodialysis unit again at present, and four blood-borne infectious disease markers are rechecked according to newly entered patients.

The newly entered patient needs to add 1 test of the blood-borne infection marker at month 3, so the test completion rate of the newly entered patient at month 3 in the statistical process is not in the quality control range of the index, and the completed test at month 3 is paid attention to and excluded.

If 1 maintenance dialysis patient had a hemodialysis treatment and an interruption in a dialysis facility, such patients could be distinguished on the hemodialysis management system and tracked on the quality control management system. Discontinuation was defined as 2 dialysis treatments 1 month apart, 31 days.

The completion of the test 1 of this year is related to the completion of the test 1 of the last 1 year, and the completion of the test 1 of this year is related to the completion of the test 1 of the third next 1 year.

If the time of 2 monitoring is more than or equal to 6 months, 1 unfinished time in the year is counted. This year is counted as 1 time regardless of the number of tests. 2 tests of one year < 6 months.

The interval between the 1 st test in the second year and the last test in the last 1 year of the newly-entered patient is less than 6 months, and the test in the last year is calculated.

[ Inclusion in groups ]

Maintenance hemodialysis patients need continuous dialysis treatment in one dialysis center for 6 months and cannot be included with the dialysis treatment discontinuation in other dialysis institutions.

[ exclude population ]

Patients with more than 6 months are monitored more than 2 times a year, and if there are 2 tests, the time of more than 6 months can only be counted as 1 time for completion.

Since the patients are statistical patients and are maintenance hemodialysis patients, if the patients are newly entered in the year, whether the 1 st test is completed or not is not within the statistical range of the sub-index, and whether the 3 rd month test is completed or not is not included in the statistics.

[ Specification of the denominator ]

The number of patients who continuously dialyze for 12 months in a dialysis mechanism is multiplied by 2+ the number of patients who continuously dialyze for more than 6 months in a dialysis mechanism and dialyze for more than 6 months in the same mechanism for more than 12 months in the same year

The system schedule was done for 1 month in 31 days, with 6 months as the check deadline. The statistics are monthly, so that the statistics actually exceed about 1 week without any return and are counted as incomplete. However, the number of tests that should be performed per patient per year cannot be less than 2, and only 1 test is required in this year due to the difference between the 31-day monthly schedule and the natural month, and the 2 nd test is completed by default at 31 days 12 and 31 days in this year.

If a newly entered patient is treated by dialysis in a hemodialysis room (center) for 6 months continuously, the examination should be repeated 1 time in the year, and if a newly entered patient is treated by dialysis in a dialysis machine continuously, the examination should be repeated 2 times per year in each year after the second year.

The statistical time interval is generally one natural year and less than one natural year, and statistics is carried out according to the actual natural month of the natural year.

The definition of a maintenance hemodialysis patient differs from that of other index sets in that the blood-borne infectious disease markers should be re-tested after the hemodialysis treatment of another dialysis institution returns to the original hemodialysis unit for various reasons. The test was added 1 month 3 into the hemodialysis chamber (center) still following the new entry patient, and this added test was not included in the statistics.

Since there are cases where a patient resumes dialysis again after a dialysis unit exits dialysis, a larger number of patients may be present than in maintenance dialysis when cross-sectional investigations are performed using formula 1. If the second formula is used for counting, the patient may have a failure such as counting of the completion rate in the current year due to the fact that the patient has an interruption of the hemodialysis treatment in a certain institution.

Routine dialysis patients should re-test for markers of blood-borne infections from one unit to another.

[ Inclusion in groups ]

All maintenance hemodialysis patients who had been continuously dialyzed in one dialysis room (center) for up to 6 months were included.

[ exclude population ]

A patient leaves the dialysis facility during the year and if the time for the blood-borne infectious disease marker test has not expired, the patient is no longer enrolled for the year. Statistics for the year should be included if the test period has been exceeded before leaving.

[ data elements ]

Maintenance hemodialysis patient

Registering hemodialysis patients

Hematogenous spread disease of hemodialysis patients

[ basic data set ]

Quality control of dialysis

[ data Collection method ]

Because of the compartmental dialysis problems involved in dialysis patients, the results of the hemodialysis patient's bloodborne infectious disease markers need to be confirmed by a hemodialysis room (central) physician for deliberate entry, so direct synchronization from Lis and automatic patient bloodborne infectious disease marker modification by the system and patient compartmental modification by the system are generally not employed. The system only reads the result of the blood-borne infectious disease marker in Lis, and does not judge further.

The time of the test is entered manually by the medical staff. But is the basis data for the test that can be further queried by the quality control management system.

[ analytical advice ]

Is free of

The indexes obtained in the quality control process of the quality control system are used, and the system can be continuously maintained and monitored according to the index operation standards in actual work.

The above-mentioned embodiments are only preferred embodiments of the present invention, and all equivalent changes and modifications made within the scope of the claims of the present invention should be covered by the claims of the present invention.

Claims

1. A computing system for a hemodialysis quality control process, comprising: the quality control system comprises a data collection module, a quality control process control index calculation module and an evaluation module, wherein the quality control process control index calculation module is divided into the following components according to collected data: the system comprises a hemodialysis equipment control index calculation module, a newly-entered patient marker calculation module, a timing inspection index calculation module, a record completion rate calculation module and a morbidity statistic module;

2. The system of claim 1, wherein the data collection module comprises a cache database for collecting the collected information and outputting the collected information to the quality control process index calculation module, an index mapping group for mapping data names with index names, a data processing group for standardizing the data, and a standardized database for storing the standardized data.

3. A method of calculating a hemodialysis quality control process calculation system, comprising the steps of:

the quality control process control index calculation module is used for extracting data in the standardized database, and correspondingly inputting the data into the hemodialysis equipment control index calculation module, the newly-entered patient marker calculation module, the timing inspection index calculation module, the record completion rate calculation module and the morbidity statistic module for calculation;

4. The calculation method of the hemodialysis quality control process calculation system according to claim 3, wherein the index in the hemodialysis device control index calculation module in the step four includes: the qualification rate of dialysis water and the execution rate of dialysate;

5. The calculation method of the hemodialysis quality control process calculation system according to claim 3, wherein the score calculation formula of the newly entered patient marker calculation module in the step four is:

6. The calculation method of the hemodialysis quality control process calculation system according to claim 3, wherein the timed test completion rate in the step four includes an index timed test completion rate and a blood-borne infectious disease marker timed test marker.

7. The computing method of a hemodialysis quality control process computing system of claim 6, wherein the index timed test completion rate further comprises blood routine, blood biochemistry, serum ferritin, transferrin saturation, whole parathyroid hormone, β 2 microglobulin, serum prealbumin, C reactive protein;

8. The computing method of the system of claim 6, wherein the timed detection completion rate of the blood-borne infectious disease markers comprises hepatitis B virus markers and hepatitis C virus markers, and the score is calculated by the formula:

9. The method of calculating a hemodialysis quality control process calculation system according to claim 3, wherein the indices of the record completion rate calculation module in the step four include a urea removal index (Kt/v) and a urea degradation rate (URR), and the score is calculated by:

10. The calculating method of the hemodialysis quality control process calculating system according to claim 3, wherein the morbidity statistic module in the step four is used for counting the morbidity of hepatitis B and hepatitis C of the patient, and the score is calculated by:

the incidence of hepatitis B and hepatitis C of a maintenance hemodialysis patient calculated according to a formula in a statistical time period is 1 point when the incidence is equal to 0%, and 0 point when the incidence is greater than 0%, and an evaluation module outputs an early warning notice.