Labor savings and improved dialysis efficiency using a dialysis monitor and dialysis information management system and their benefits in the medical economics of dialysis

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  • 透析用監視装置および透析情報管理システムでの透析業務の省力化と効率化ならびに透析医療経済への効果
  • トウセキヨウ カンシ ソウチ オヨビ トウセキ ジョウホウ カンリ システム デ ノ トウセキ ギョウム ノ ショウリョクカ ト コウリツカ ナラビニ トウセキ イリョウ ケイザイ エ ノ コウカ

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〔Background〕The economic environment for dialysis becomes more severe each time the medical fees are revised. However, medical institutions are responsible for maintaining the quality of dialysis, and there has been a growing demand for labor saving and improved dialysis efficiency, resulting in the necessity of using dialysis support systems and fully automatic dialysis systems. 〔Materials and methods〕Possible economic benefits from labor saving, improved efficiency, and reduced personnel were investigated using a dialysis monitor (NCV-1i, Nipro Corporation) and a dialysis information management system (DiaCom2006, Nipro Corporation) in 78 patients receiving one cycle of dialysis at the same time. 〔Results〕 (1) It became unnecessary to have recording paper available one-day before dialysis. (2) Labor and time were saved dramatically by 10min of automatic priming with saline solution. (3) Calculations for ultra filtration and machine entry after measurement of body weight became unnecessary, the time until starting dialysis was shortened and human errors were reduced dramatically. (4) Labor required for reinfusion was dramatically reduced the by fully automatic reinfusion function. As a result, patient waiting time was shortened and the staff could feel more “comfortable” both mentally and in terms of time pressure. (5) The number of staff required for one cycle was decreased by approximately ten. Annual labor costs were reduced by approximately 16.6 million yen per cycle and by approximately 50 million yen per three-cycle treatment. 〔Conclusion〕The dialysis support system using NCV-1i and DiaCom2006 was not only very useful for saving labor and improving efficiency but also convenient for dialysis. Furthermore, it improved the medical economics of dialysis by reducing labor costs.

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