IMPLEMENTATION PROJECT

An essential part of the guideline development process is the formulation of a dissemination and implementation strategy.

Vascular Access

The Vascular Access Implementation Project was initiated in 2007. This project aimed to implement two vascular access CARI Guidelines:

  • Preparation and placement of vascular access

  • Selection of type of access

Summary of the project

Nine renal units in Australia and New Zealand took part in the study. During the baseline phase, the units worked together with the CARI Guidelines project officer to identify the barriers to early access creation and to develop strategies and procedures to improve the number of arterio-venous fistulas (AVF) created for new haemodialysis patients.

Publications

Barriers to timely arteriovenous fistula creation: a study of providers and patients
Lopez-Vargas PA, Craig JC, Gallagher MP, Walker RG, Snelling PL, Pedagogos E, Gray NA, Divi MD, Gillies AH, Suranyi MG, Thein H, McDonald SP, Russell C, Polkinghorne KR. American Journal of Kidney Diseases 2011;57(6):873-82[PubMed abstract]

Lopez-Vargas P, Gallagher M, Craig J, Walker R, Snelling P, Pedagogos E, et al., editors. Implementation of predialysis pathway to increase arteriovenous fistula use at the commencement of haemodialysis: the KHA-CARI Vascular Access Implementaton Project. 47th Annual Scientific Meeting of the Australian and New Zealand Society of Nephrology, Adelaide, South Australia. Nephrology, 2011: 16(Supp.1): 24-43.

Lopez-Vargas P, Gallagher M, Craig J, Walker R, Snelling P, Pedagogos E, et al., editors. Identification of barriers and implementation of strategies to improve timing and creation of appropriate access for new haemodialysis patients. 6a Conferencia Internacional da Guidelines International Network (GIN), Lisboa, Portugal. Acta Medica Portuguesa, 2009: 22(5): 17.

Lopez-Vargas P, Gallagher M, Craig J, Walker R, Snelling P, Pedagogos E, et al., editors. Arteriovenous fistula creation (AVF)-perceived and actual barriers in Australian and New Zealand units. 45th Annual Scientific Meeting of the Australian and New Zealand Society of Nephrology, Hobart, Tasmania. Nephrology, 2009: 14(Supp.1): A45.

Implementation Project