NTDS

Culture of Safety 5 links

• Creating a Culture of Safety: ESRD Toolkit
• Demonstration Project on the Impact of Safety Culture on Infection Control Practices in Hemodialysis
• Patient and Facility Safety in Hemodialysis: Opportunities and Strategies to Develop a Culture of Safety
• Promoting a Safety Culture at Dialysis Centers
• Systematic Literature Review of Safety Culture in Hemodialysis Settings

Leadership and Dialysis 6 links

• History of Leadership in Dialysis: Perspectives From Seasoned Leaders
• Infection Prevention and the Medical Director: Uncharted Territory
• Leading a Dialysis Organization: Role and Responsibilities of the Chief Medical Officer (Nephrologist Leadership in a Dialysis Provider Organization)
• Situational Leadership Model
• Systems Thinking and Leadership-How Nephrologists Can Transform Dialysis Safety to Prevent Infections
• What Leaders Really Do

Centers for Disease Control and Prevention (CDC) Resources 5 links

• CDC Monkeypox Guidance
• Clinical Considerations for Monkeypox in People Who are Pregnant or Breastfeeding
• Clinical Considerations for Monkeypox in Children and Adolescents
• Letter from Director of the CDC (07.27.22)
• Monkeypox 101: What Clinicians Need to Know (07.22.22)

Frequently Asked Questions About Monkeypox for the Dialysis Setting 1 link

• FAQ Document

Clostridioides difficile (C-diff or CDI) 2 links

• Suggestions for the prevention of Clostridioides difficile spread within outpatient hemodialysis facilities
• Clostridioides difficile Infection Among Patients Requiring Maintenance Hemodialysis

Ebola 7 links

• Ebola Gap Analysis
• Ebola: Responding to a Growing Crisis (webinar)
• ASPR TRACIE: Healthcare System Readiness for Highly Pathogenic Infectious Diseases
• National Emerging Special Pathogens Training and Education
• World Health Organization (WHO): Ebola Virus Disease
• ASPR TRACIE: Highly Pathogenic Infectious Disease Exercise Planning for Front Line Facilities
• U.S. Department of Health & Human Services Topic Collection: VHF/Ebola

Hepatitis A 3 links

• Widespread person-to-person outbreaks of hepatitis A across the United States
• HAV Vaccination Guidance During the COVID-19 Pandemic
• Hepatitis A Information from the CDC

Hepatitis B 2 links

• ACIP Recommendations
• VIS - Hepatitis B Vaccine

Hepatitis C 4 links

• KDIGO Guidelines "Hepatitis C in CKD" (2018)
• KDIGO 2018 Clinical Practice Guideline for the Prevention, Diagnosis, Evaluation, and Treatment of Hepatitis C in Chronic Kidney Disease
• CDC/NTDS Hepatitis C Testing and Monitoring Algorithm
• AJKDBlog: Caring for Patients with Hepatitis C and CKD in the Modern Era: The 2018 KDIGO Guideline

CDC 8 links

• Core Infection Prevention and Control Practices for Safe Healthcare Delivery in All Settings
• Dialysis Safety: Core Interventions
• Dialysis Safety Index
• Dialysis: Reducing Infections and Changing Culture (podcast)
• Discussion of Respiratory Protection Recommendations for Measles, Varicella, and Disseminated Zoster
• Infection Control in Healthcare Personnel
• Making Dialysis Safer for Patients: Tools to Prevent Infections in Hemodialysis (video)
• Transmission-Based Precautions

CMS 2 links

• ESRD Quality Incentive Program
• Interpretive Guidance of the ESRD Conditions for Coverage for Dialysis Facilities (304 pages)

Environmental Cleaning and Disinfection 3 links

• Environmental Surface Disinfection in Dialysis Facilities: Notes for Clinical Managers
• Checklist: Dialysis Station Routine Disinfection
• Core Strategies of Environmental Cleaning and Disinfection in Hospitals

National Healthcare Safety Network (NHSN) 1 link

• NHSN Tracking Infections in Outpatient Dialysis Facilities

Publications 6 links

• Essential Components of an Infection Prevention Program for Outpatient Hemodialysis Centers
• 100% Use of Infection Control Procedures in Hemodialysis Facilities: Call to Action
• Evolving Role of the Medical Director of a Dialysis Facility
• Infection control guidelines in hemodialysis facilities
• Leading the Dialysis Unit: Role of the Medical Director
• Maintaining Safety in the Dialysis Facility

Safe Injection Practices 4 links

• CDC Injection Safety
• Hemodialysis Injectable Medication Preparation Audit Tool
• Medication Safety Principles and Practice in CKD
• Safe Injection Practices - How to Do It Right (video)

Water Safety in Dialysis 3 links

• Preparation and quality management of fluids for haemodialysis and related therapies -- Part 5: Quality of dialysis fluid for haemodialysis and related therapies
• Water Use in Hemodialysis
• What Medical Directors Need to Know about Dialysis Facility Water Management

Vascular Access Infections 6 links

• Prevention of Bloodstream Infections in Patients Undergoing Hemodialysis
• CDC Approach to BSI Prevention in Dialysis Facilities (i.e., the Core Interventions)
• Catheter-related blood stream infections in hemodialysis patients: a prospective cohort study
• Dialysis BSI Prevention Collaborative
• NHSN Tracking Infections in Outpatient Dialysis Facilities
• CDC Dialysis Safety: Core Interventions

Blood Culture Collection 1 link

• Standardization of Blood Culture Collection for Patients Receiving In-Center Hemodialysis

Past Webinars 8 links

• Savings Lives and Saving Money: AI for Improvement in AKI (recorded June 7, 2022)
• ASN COVID-19 Roundtable: Outpatient Therapeutics Webinar (recorded February 11, 2022)
• Management of Clostridioides difficile Infections in Outpatient Hemodialysis Settings (recorded Friday, September 24, 2021)
• Use of Monoclonal Antibodies for the Treatment of Mild to Moderate SARS-COV-2 in Patients Receiving Hemodialysis: A Kidney Community Conversation (recorded March 11, 2021)
• New Approaches to Transform Outcomes for Kidney Disease and Heart Disease in Patients with Diabetes (recorded Thursday, December 10, 2020)
• Goal-Directed Medical Therapies for Patients with Diabetic Kidney Disease (recorded Tuesday, September 29, 2020)
• Management of Diabetes & Kidney Disease through COVID-19 (recorded Tuesday, August 18, 2020)
• COVID-19 Associated AKI Recognition and Management (recorded Tuesday, April 21, 2020)

From ASN eLearning Center 6 links

• NTDS Targeting Zero Infections Webinar Series: Human Factors Engineering and its Application to Dialysis (recorded Tuesday, September 17, 2019)
• Targeting Zero Infections: Hepatitis C Detection, Prevention, and Treatment (recorded Thursday, December 6, 2018)
• Targeting Zero Infections: Environmental Decontamination (recorded Tuesday, June 19, 2018)
• Targeting Zero Infections: Infectious Disease Reporting: State Requirements & Resources (recorded Thursday, March 29, 2018)
• Targeting Zero Infections: MDROs and Antimicrobial Stewardship in the Dialysis Facility (recorded Wednesday, September 27, 2017)
• Targeting Zero Infections: Where Do We Begin? (recorded Tuesday, May 23, 2017)

Federal Regulations 6 links

• Code of Federal Regulations, 2011
• ESRD Surveyor Training Interpretive Guidance Version 1.1
• Life Safety Code & Health Care Facilities Code Requirements
• Measures Assessment Tool (MAT): Version 2.5
• Payment 2024 Quality Incentive Program Measures
• Quality, Safety & Oversight - Enforcement

State Regulations 4 links

• 2020 Outlook: Dialysis Clinics and ESRD
• Certificate of Need State Laws
• Estimating the effect of dialysis staffing ratio regulations on mortality and hospitalizations for Medicare hemodialysis patients
• State Operations Manual – Survey Procedures for Life Safety Code Surveys

2017 1 link

• NTDS Annual Report: July 2016 - July 2017

2018 1 link

• NTDS Annual Report: July 2017 - July 2018

2019 1 link

• NTDS Annual Report: July 2018 - July 2019

2020 1 link

• NTDS Annual Report: July 2019 – December 2020

Environmental Decontamination 14 links

• Surface Disinfection - policy example
• Dialysis Cleaning/Disinfection Template and Key
• Recommendations for Preventing Transmission of Infections Among Chronic Hemodialysis Patients, 2001
• Environmental Surface Disinfection in Dialysis Facilities: Notes for Clinical Managers
• Days Since Last Bloodstream Infection Poster
• Best Practices in Infection Control in Ambulatory Care Settings: Basic Infection Prevention and Control Principles to Guide Practice
• iPads, droids, and bugs: Infection prevention for mobile handheld devices at the point of care
• Continuing Education "Infection Prevention in Dialysis Settings" Training Course
• Guide to the Elimination of Infections in Hemodialysis, 2010
• Preventing Bloodstream Infections in Outpatient Hemodialysis: Best Practices for Dialysis Staff
• What You Should Know About Infectious Diseases: A Guide for Hemodialysis Patients and their Families
• Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008
• Dialysis Station Routine Disinfection Checklist
• Dialysis Station Routine Disinfection Audit Tool

General Infection Prevention 18 links

• The Infection Prevention and Control in Dialysis Settings (2022)
• Infection-Related Mortality in Recipients of a Kidney Transplant in Australia and New Zealand
• Excess Deaths Attributable to Influenza-Like Illness in the ESRD Population
• Comprehensive Unit-based Safety Program (CUSP)
• Days Since Last Bloodstream Infection Poster
• Is it Flu or is it Flu-Like?
• 4 Ways to Get Ahead of Sepsis
• Joint Commission: CLABSI Toolkit
• Infection Prevention and You: Monthly Alerts for Consumers
• National Opportunity To Improve Infection Control in ESRD (NOTICE) Phase One Final Report
• Chasing Zero: Winning the War on Healthcare Harm
• Staying Healthy Through Education and Prevention (STEP)
• National Action Plan to Prevent Healthcare-Associated Infections: Road Map to Elimination
• Put Together the Pieces to Prevent Infections in Dialysis Patients
• Injection Safety: Medication Preparation & Administration Audit Tool
• Hemodialysis Injection Safety: Medication Administration Checklist
• Hemodialysis Injection Safety: Medication Preparation Checklist
• Safe Injection Practices - How to Do It Right

Hand Hygiene 24 links

• Improving Hand Hygiene Compliance Rates in the Haemodialysis Setting: More Thank Just More Hand Rubs
• iScrub App
• Global Handwashing Day: Oct. 15
• Hand Washing Stops Infections, So Why Do Health Care Workers Skip It?
• Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project
• Your Roadmap to Engaging Patients & Families in Hand Hygiene
• Infection Control Today - National Handwashing Awareness Week
• Henry the Hand Foundation
• National Hand Washing Awareness Week
• International Infection Prevention Week: Oct. 15-21
• Clean Hands Count - Materials
• Clean Hands Count - Video
• Hand Hygiene - Education Courses
• How to Make Handwashing a Fun Experience For Patients in the Dialysis Unit
• Handwashing: Clean Hands Save Lives
• Secret shoppers help improve hand hygiene compliance
• Hand Hygiene in Outpatient and Home-based Care and Long-term Care Facilities
• Bedside hand hygiene improves when extra healthcare workers are present, study shows
• Understanding Practice: Factors That Influence Physician Hand Hygiene Compliance
• Hopkins Hands: Hand Hygiene at JHM
• Evidence-Based Approaches to Hand Hygiene: Best Practices for Collaboration
• How-to Guide: Improving Hand Hygiene
• Hand Hygiene Audit Tool
• Hand Hygiene in Healthcare Settings

Immunizations 18 links

• Answering Common Questions About Herd Immunity and Vaccination
• People at High Risk of Developing Flu–Related Complications
• FluView Interactive
• CDC Immunization Resources for You and Your Patients
• Seasonal Flu
• Influenza Antiviral Medications: Summary for Clinicians
• 100 years after "super-flu" pandemic killed millions, universal vaccine remains elusive
• Universal Influenza Vaccine Research
• Quest for a Universal Flu Shot Ramps Up at NIH
• CDC Digital Media Toolkit: 2017-18 Flu Season
• Recognizing National Immunization Awareness Month (NIAM)
• Guidelines for Vaccinating Kidney Disease Patients and Patients with Chronic Kidney Disease, 2015
• Immunization Action Coalition (IAC)
• Immunize - Immunization Topics Slide Decks
• CDC General Best Practice Guidelines for Immunization Course
• CDC Vaccine Administration e-Learn Module
• Immunization Resources
• Immunizations, Vaccines and Biologicals

Antimicrobial Stewardship 32 links

• Antimicrobial Use in Outpatient Hemodialysis Units, 2015
• Evaluating Infection Prevention Strategies in Out-Patient Dialysis Units Using Agent-Based Modeling, 2016
• What CDC is Doing: AR Solutions Initiative
• Key Investments to Combat Antibiotic Resistance
• American Hospital Association - Antimicrobial Stewardship
• National Action Plan for Combating Antibiotic-Resistant Bacteria Progress Report for Years 1 and 2
• National Action Plan for Combating Antibiotic-Resistant Bacteria, March 2015
• Presidential Message on Antibiotic Awareness Week, 2017
• Association Between Outpatient Antibiotic Prescribing Practices and Community-Associated Clostridium difficile Infection
• US emergency department visits for outpatient adverse drug events, 2013-2014
• Antibiotic prescribing for adults in ambulatory care in the USA, 2007-09.
• Dynamics of antibiotic prescribing for children.
• Office-Related Antibiotic Prescribing for Persons Aged ≤14 Years --- United States, 1993--1994 to 2007--2008
• Prevalence of Inappropriate Antibiotic Prescriptions Among US Ambulatory Care Visits, 2010-2011.
• Transatlantic Taskforce on Antimicrobial Resistance (TATFAR)
• Be Antibiotics Aware - Stakeholder Toolkit
• The Right Tool
• Antibiotic Prescribing and Use in Doctor's Offices - Community
• Redefining the Antibiotic Stewardship Team: Recommendations from the American Nurses Association/Centers for Disease Control and Prevention Workgroup on the Role of Registered Nurses in Hospital Antibiotic Stewardship Practices
• Antibiotic Resistance Solutions Initiative
• Proposed risk factors for infection with multidrug-resistant pathogens in hemodialysis patients hospitalized with pneumonia
• Antibiotic Resistance Threats in the United States, 2013
• A Guide to Antibiotic Stewardship: Information for Patients & Families
• Microbial approaches for targeting antibiotic-resistant bacteria, 2017
• Variation in Outpatient Antibiotic Prescribing in the United States
• Antimicrobial Use and Stewardship Programs Among Dialysis Centers, 2013
• Antibiotic Use in the United States, 2017: Progress and Opportunities
• AHA Physician Leadership Forum: Antimicrobial Stewardship & Toolkit
• Promoting Antimicrobial Stewardship in Human Medicine
• Practice Resources - Antimicrobial Stewardship
• Antibiotic Stewardship
• Core Elements of Hospital Antibiotic Stewardship Programs

Hepatitis B & C 19 links

• Hepatitis C Testing and Monitoring Algorithm
• HCV Fact Sheet
• Hepatitis C: Information on Testing and Diagnosis
• A National Strategy for the Elimination of Hepatitis B and C: Phase Two Report
• Recommended Testing Sequence for Identifying Current Hepatitis C Virus (HCV) Infection
• Interpretation of Hepatitis B Serologic Test Results
• The ABCs of Hepatitis
• Viral Hepatitis - Statistics
• Hepatitis Awareness Month and Testing Day — May 2017
• Hepatitis C FAQs for Health Professionals
• Combo Shows Promise for Hepatitis C Patients with Renal Disease
• New Therapies for Chronic Hepatitis B
• Access Resource Sheets on Vaccinations in Nephrology Patient Populations
• Viral-Associated GN: Hepatitis B and Other Viral Infections
• Testing for HCV Infection: An update of guidance for clinicians and laboratorians, 2013
• Viral Hepatitis - Hepatitis B Information
• Testing and Clinical Management of Health Care Personnel Potentially Exposed to Hepatitis C Virus — CDC Guidance, United States, 2020
• Draft update: Testing and Follow-up Information for Healthcare Personnel Potentially Exposed to Hepatitis C Virus
• Update to the Guideline for Infection Control in Heatlhcare Personnel, 1998 “Section 2”

MDROs 3 links

• Management of Multidrug-Resistant Organisms In Healthcare Settings, 2006
• Multidrug-Resistant Organisms Within the Dialysis Population: A Potentially Preventable Perfect Storm
• VRE Colonization Among Dialysis Patients

Threats 14 links

• Emerging Infections Programs
• CDC invests more than $200 million to help states respond to infectious disease threats
• Emerging Infectious Diseases
• Successful Delivery of RRT in Ebola Virus Disease
• Recommendations for Safely Performing Acute Hemodialysis in Patients with Ebola Virus Disease (EVD) in U.S. Hospitals
• Ebola Virus Disease and Blood Purification Techniques
• Ensuring healthcare workers’ safety in the management of Ebola virus disease: a novel competency assessment checklist for proper PPE use
• Preparing for renal replacement therapy in patients with the Ebola virus disease.
• Preparing for Serious Communicable Diseases in the United States: What the Ebola Virus Epidemic Has Taught Us
• For U.S. Healthcare Settings: Donning and Doffing Personal Protective Equipment (PPE) for Evaluating Persons Under Investigation (PUIs) for Ebola Who Are Clinically Stable and Do Not Have Bleeding, Vomiting, or Diarrhea
• Revised Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women in Health-Care Settings, 2006
• Laboratory Testing for the Diagnosis of HIV infection- Recommendations, 2014
• Dialysis-Related Outbreaks
• Infection Prevention and Control Recommendations for Hospitalized Patients Under Investigation (PUIs) for Ebola Virus Disease (EVD) in U.S. Hospitals

What is HICPAC? 2 links

• Healthcare Infection Control Practices Advisory Committee (HICPAC)
• Update to the Centers for Disease Control and Prevention and the Healthcare Infection Control Practices Advisory Committee Recommendation Categorization Scheme for Infection Control and Prevention Guideline Recommendations

Quality Improvement 4 links

• HRSA Clinical Quality & Performance Measures Quality Toolkit
• Continuous quality improvement in nephrology: a systematic review
• IHI Quality Improvement Tools
• Team STEPPS Rapid Response Systems Module

Data 2 links

• Surveys and Tools to Advance Patient-Centered Care (CAHPS)
• NHSN: Tracking Infections in Outpatient Dialysis Facilities

Healthcare Personnel 5 links

• Clinician Education
• Continuing Education "Infection Prevention in Dialysis Settings"
• 5-Diamond Patient Safety Program
• CDC Learning Connection
• Fellows: Educational Resources

Patients 4 links

• National Kidney Foundation A-Z Health Guide: Hemodialysis
• Kidney Failure and Medicare: What you should know
• How does dialysis work?
• CDC Patient Information

NKF 1 link

• What You Should Know About Infectious Diseases: A Guide for Hemodialysis Patients and Their Families

Making Dialysis Safer for Patients Coalition 4 links

• "Days Since Infection" Poster
• Making Dialysis Safer for Patients Coalition
• Making Dialysis Safer for Patients Coalition Materials
• The Making Dialysis Safer for Patients Coalition A New Partnership to Prevent Hemodialysis-Related Infections

Renal Physicians Association (RPA) 1 link

• Dialysis Safety: What Patients Need to Know

State HAI Programs 1 link

• State-based HAI Prevention Activities by State

ESRD Networks 2 links

• ESRD Network Organizations
• ESRD Network Map and Directory of ESRD Networks

CKD/ESKD Patient Associations 6 links

• Dialysis Patient Citizens (DPC)
• American Assocation of Kidney Patients (AAKP)
• CDC Patient Information
• Renal Support Network
• Dialysis Patient Citizens (DPC)
• American Assocation of Kidney Patients (AAKP)

Buttonhole Cannulation 1 link

• Kidney 360 resources

AV Fistula/ AV Graft 4 links

• CLINICAL PRACTICE GUIDELINES FOR VASCULAR ACCESS, UPDATE 2006
• AV Fistula & Graft Cannulation Checklist
• AV Fistula & Graft Decannulation Checklist
• CDC Resource.

Central Venous Catheter 12 links

• Management of the Hemodialysis Patient with Catheter-Related Bloodstream Infection
• Initiating Dialysis with a Catheter, Catheter Exit Site Care
• Guidelines for Prevention of Intravascular Catheter-related Infections, 2011
• CLINICAL PRACTICE GUIDELINES FOR VASCULAR ACCESS, UPDATE 2006
• Hemodialysis Catheter Exit Site Care Checklist
• Catheter Exit Site Care Audit Tool
• Hemodialysis Central Venous Catheter Scrub-the-Hub Protocol
• Hemodialysis Catheter Connection Checklist
• Hemodialysis Catheter Disconnection Checklist
• Catheter Connection & Disconnection Audit Tool
• Guidelines for the Prevention of Intravascular Catheter-Related Infections Update
• Summary of Recommendations: Guidelines for the Prevention of Intravascular Catheter-related Infections

Peritoneal Dialysis Catheter 3 links

• KDOQI: CLINICAL PRACTICE GUIDELINES FOR PERITONEAL DIALYSIS ADEQUACY, UPDATE 2006
• ISPD Clinical Practice Guidelines for Peritoneal Access
• Infection Control for PD Patients After a Disaster