Monitor Turnaround Time and Time Efficiency in Hemodialysis Delivery – A Global Comparison

Background/Aims: Increasing cost pressure has forced shortening of dialysis treatments. The aim of this study was to benchmark the hemodialysis (HD) delivery monitor turnaround time and time efficiency in a global comparison. Methods: 683 HD deliveries in 26 Gambro Healthcare clinics in Europe, Taiwan and the USA were assessed using the Treatment Mapping methodology. Results: Consolidated mean monitor turnaround time was 324.4 min. On average, 69% consisted of the HD treatment and 31% (102.8 min) of other activities: monitor preparation, monitor disinfection and monitor waiting – roughly one third each. USA had the shortest monitor turnaround, dialysis treatment and disinfection times. However, time efficiency – the percentage of monitor turnaround time on dialysis – was the lowest in the USA (68 vs. 69 and 74% in Europe and Taiwan) as monitor preparation, undress and waiting were the longest in USA. Conclusion: A monitor/disposable design to minimize time for preparation, undress and disinfection would reduce the cost of operational time without compromising quality.