Renal Patient Safety Resources

Conditions for Coverage Resources

Keeping Kidney Patients Safe has gathered online resources helpful to nephrology professionals working to comply with the newly adopted Centers for Medicare and Medicaid Services Conditions for Coverage, specifically those aspects of the new regulations pertaining to patient safety. The web site will continue to expand this list and other content pertaining to compliance for use by medical directors and other nephrology professionals.

Centers for Medicare and Medicaid Services (CMS) Conditions for Coverage for End-Stage Renal Disease Facilities; Final Rule
Part II, Department of Health and Human Services, Centers for Medicare & Medicaid Services 42 CFR Parts 405, 410, 413 et al. Medicare and Medicaid Programs; Conditions for Coverage for End-Stage Renal Disease Facilities; Final Rule.
View the PDF

End Stage Renal Disease (ESRD) Program Interpretive Guidance Version 1.1
published October 3, 2008
View the PDF

CMS ESRD Conditions for Coverage Frequently Asked Questions (FAQs)
View FAQs 

RPA and Other Resources to Meet Specific Conditions within the Conditions for Coverage.

View in Excel 

Measures Assessment Tool
View the PDF 

End Stage Renal Disease Facilities V-Tags & Identifiers
View the PDF 

Correlation Grid for Patient Assessment & Plan of Care
View the PDF 

Bibliography Updates

Chronic Kidney Disease Heightens Medical-Error Risk
As reported in MedPage Today
Primary source: Journal of the American Society of Nephrology Source reference:
Seliger S, et al "Chronic kidney disease adversely influences patient safety" J Am Soc Nephrol 2008; DOI: 10.1681/ASN.2008010022.

Healthcare-Associated Pneumonia Is More Severe Than Community-Acquired Pneumonia
As reported in Medscape Today
Primary source: Annals of Internal Medicine reference:
Venditti, M et al "Outcomes of Patients Hospitalized With Community-Acquired, Health Care-Associated, and Hospital-Acquired Pneumonia." Ann Intern Med 2009; 150: 19-26.

Hepatitis Risk Growing Due to Lax Infection Control
As reported in Renal Business Today
Primary source: Annals of Internal Medicine reference:
Thompson et al. "Nonhospital Health Care-Associated Hepatitis B and C Virus Transmission: United States, 1998-2008." Ann Intern Med 2009; 150: 33-39

Other Renal Patient Safety Resources

In an effort to provide nephrology professionals with the widest possible array of relevant information on renal patient safety, links to other helpful web sites are listed below. Please contact the ESRD Patient Safety Initiative through the Contact Us page of this site to submit additional links for possible inclusion.

American Association of Kidney Patients
The American Association of Kidney Patients (AAKP) is a national non-profit organization founded by kidney patients for kidney patients. We strive to educate and improve the health and well-being of chronic kidney disease (CKD) patients, those on hemodialysis, peritoneal dialysis and transplant recipients.

"Behaviors That Undermine a Culture of Safety," The Joint Commission
To assure quality and to promote a culture of safety, health care organizations must address the problem of behaviors that threaten the performance of the health care team.

Centers for Disease Control and Prevention - Clean Hands Count - 2016
A new campaign urging healthcare providers, patients, and patients' loved ones to clean their hands to prevent healthcare-associated infections. Part of the new campaign promotes healthcare provider adherence to CDC hand hygiene recommendations by addressing some of the myths and misperceptions about hand hygiene.

Centers for Disease Control and Prevention - Infection Prevention Tools for HD Patients
A series of tools including a video and handouts designed to prevent bloodstream and other infections in hemodialysis patients.

Centers for Disease Control and Prevention Guide to Infection Prevention in Outpatient Settings - 2011 
The guide provides basic infection prevention recommendations for outpatient (ambulatory care) settings; and reaffirms Standard Precautions as the foundation for preventing transmission of infectious agents during patient care in all healthcare settings. It also provides links to full guidelines and source documents, which readers can reference for more detailed background and recommendations.

Centers for Disease Control Dialysis Bloodstream Infection Prevention Collaborative
Audit tools and checklists which can be used by individuals when assessing staff practices. They can also be used by facility staff themselves to help guide their practices.

5-Diamond Patient Safety Program
In March 2008, the Mid-Atlantic Renal Coalition and the ESRD Network of New England, developed and launched the 5-Diamond Patient Safety Program. The program is designed to assist dialysis facilities build a culture of patient safety by providing educational modules that address various patient safety-related topics. The program has been endorsed by both the Renal Physicians Association (RPA) and the American Nephrology Nurses’ Association (ANNA) and now 12 of the 18 Networks actively participate. There are 13 educational modules for the facilities to select from and for each module completed, the facility receives a “diamond” in recognition. When 5 modules are completed the facility is recognized as a 5 Diamond-Patient Safety provider.

The National Forum of End Stage Renal Disease Networks
The Forum of ESRD (End-stage Renal Disease) Networks advocates for the organizations that monitor the quality of chronic kidney disease, dialysis and kidney transplant care in the United States.

ESRD Toolkit, AHRQ (2015)

Designed to help dialysis clinics prevent healthcare-associated infections in dialysis patients. The toolkit helps dialysis center clinicians make care safer by following clinical best practices, creating a culture of safety, using checklists and other audit tools, and engaging with patients and their families. The toolkit has science-based, practical resources that reflect the real-world experiences of the frontline providers who participated in the toolkit’s development.

National Dialysis Safety Webinar Series - Held Fall 2015, these webinars explore topics related to dialysis patient safety. 


Fall Prevention Tools, AHRQ
A series of tools for assessing fall risk and preventing patient falls.

FDA Safety Alerts

Heartland Kidney Network
Promoting and facilitating high quality care standards for dialysis and kidney transplant patients in Iowa, Kansas, Missouri and Nebraska.

Institute for Healthcare Improvement
The Institute for Healthcare Improvement (IHI) is an independent not-for-profit organization helping to lead the improvement of health care throughout the world.

Hand Hygiene Factors and Solutions, Joint Commission Center for Transforming Healthcare
Provides step-by-step processes to measure performance, identify barriers to excellent performance, and implement proven solutions to improve hand hygiene.

Kidney and Urology Foundation of America
Kidney & Urology Foundation of America (KUFA) is a national, not-for-profit organization dedicated to helping people with kidney and urologic diseases and individuals waiting for organ and tissue transplants.

"Making Strides in Safety," American Medical Association
Encourages physician leadership and involvement in improving patient care and aims to improve patient safety by providing model programs and tools.

Massachusetts Coalition for the Prevention of Medical Errors
The Massachusetts Coalition for the Prevention of Medical Errors is a public-private partnership whose mission is to improve patient safety and eliminate medical errors in Massachusetts.

Medications at Transitions and Clinical Handoffs(MATCH)Toolkit for Medication Reconciliation, AHRQ
A toolkit to help acute care and post-acute care facilities evaluate and improve their current medication reconciliation process.

Medication Tracking Tool in Spanish, AHRQ
Newly revised Spanish language medication tracking tool, Su medicamento: Infórmese. Evite riesgos. (Your Medicine: Be Smart. Be Safe.), can help Spanish-speaking patients learn more about how to take medicines safely.

National Patient Safety Goals: The official, approved goals and helpful solutions for meeting them, AHRQ 
This special issue presents the 2009 set of Joint Commission National Patient Safety Goals and summarizes changes from the previous year's requirements.

National Renal Administrators Association
The National Renal Administrators Association (NRAA) is a nonprofit organization representing professional managers of dialysis facilities and centers throughout the United States.

The Physicians Guide to Patient Safety Organizations 
The AMA produced this guide to further your knowledge of the Patient Safety Act and to optimize physician participation in PSOs.

Safe Kidney Care
Developed by the University of Maryland School of Medicine to serve as a resource for people with chronic kidney disease.

20 Tips to Help Prevent Medical Errors, AHRQ
Patient fact sheet