关键词: 腹膜透析, 管理, 评价, 持续质量提升

Abstract: 【Abstract】Objective To explore the evaluation standards for the management in peritoneal dialysis (PD) centers and their management level in Beijing. Methods Under the organization of Beijing Blood Purification Quality Control and Improvement Center, we designed the "2018 PD center management quality evaluation system". According to this system, all medical institutions engaged in PD in Beijing reported their quality data of PD management from January 1, 2017 to December 31, 2017. These data were summarized and analyzed. Result This system includes 10 dimensions involving various aspects of PD management. By the end of 2017, a total of 2,057 PD patients were treated; 37 medical institutions and 116 PD professionals engaged in PD in Beijing. Cardiovascular and cerebrovascular diseases were the main causes of death in PD patients, accounting for 44.3% of the total deaths. PD associated infection was the main reason for transfer to hemodialysis, accounting for 42.2% of all these patients. Most PD centers established a relatively complete training system for patients, and 84.5% of the PD patients could be followed up once every 1-3 months but the follow-up contents were significantly different among the centers. The incidence of PD-associated peritonitis in Beijing was 83.1/patient month. A quality control meeting was organized at least once a quarter in 46.1% of the PD centers. Conclusion The "2018 PD center management quality evaluation system" primarily reflects
the level of clinical work and management of PD in Beijing and plays an important role in the sustainable development of PD in Beijing.

Key words: Peritoneal dialysis, Management, Evaluation, Continuous quality improvement