2015
DOI: 10.2215/cjn.11851214
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What Medical Directors Need to Know about Dialysis Facility Water Management

Abstract: The medical directors of dialysis facilities have many operational clinic responsibilities, which on first glance, may seem outside the realm of excellence in patient care. However, a smoothly running clinic is integral to positive patient outcomes. Of the conditions for coverage outlined by the Centers for Medicare and Medicaid Services, one most critical to quality dialysis treatment is the provision of safe purified dialysis water, because there are many published instances where clinic failure in this rega… Show more

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Cited by 17 publications
(26 citation statements)
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“…This is a very brief review of the HD emergencies that can arise due to water system issues. Several excellent review articles provide greater detail (104)(105)(106). Acute loss of water in a dialysis unit is an emergency.…”
Section: Emergencies Related To Dialysis Water Systemmentioning
confidence: 99%
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“…This is a very brief review of the HD emergencies that can arise due to water system issues. Several excellent review articles provide greater detail (104)(105)(106). Acute loss of water in a dialysis unit is an emergency.…”
Section: Emergencies Related To Dialysis Water Systemmentioning
confidence: 99%
“…With the dialysis membrane being the only barrier between the dialysate and blood, it is critical that municipal water undergo rigorous purification before its use during dialysis. Each dialysis unit has its own water system for purification of municipal water, protocol for sampling and monitoring, and management to adhere to the guidelines for water quality set by the American National Standards Institute/Association for the Advancement of Medical Instrumentation (104).…”
Section: Emergencies Related To Dialysis Water Systemmentioning
confidence: 99%
“…Patients on hemodialysis are exposed to around 120 L dialysate water (e.g., dialysate flow 500 mL/min for 240 min) during an average dialysis session [12]. With the dialysis membrane being the only barrier between the dialysate and blood, it is critical that water undergoes rigorous purification before its use during dialysis [4][5][6][7].…”
Section: Discussionmentioning
confidence: 99%
“…Quality criteria for dialysis fluid require periodic analysis to guarantee pure and ultrapure water [3]. To achieve these standards, several purification steps are required to transform tap water into intravenous grade water (water treatment) [4][5][6][7]. Tap drinking water is not sterile, and contains different pollutants, within the acceptable limits that make it suitable for human consumption [3].…”
Section: Introductionmentioning
confidence: 99%
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