Application of process management in nephrology. Hemodialysis process management

Total Quality Management techniques have recently been introduced into cli- nical practice. We describe the application of process management to hemodialysis therapy in a Spanish public hospital. The «ownership» of the hemodialysis pro- cess and its limits have been defined. We present a flowchart with all the activi- ties involved in the process and the task description. Monitoring indicators have been selected according to the recommendations of the US Committee on the Na- tional Report on Health Care Delivery. Data sources for indicators have also been described.