000			02860 a2200217 4500
005			20250805023421.0
100			_aDanguilan, Romina A. _94887
245	1		_aManagement case : _boutbreak of chills in the Hemodialysis Center at the National Kidney and Transplant Institute (NKTI) / _cRomina A. Danguilan.
300			_a52 leaves : color illustrations
500			_bDanguilan, R. A. (2014). Management case: Outbreak of chills in the hemodialysis center at the National Kidney and Transplant Institute (NKTI) (Unpublished master's thesis). Public Management Development Program, Development Academy of the Philippines.
502			_aPublic Management Development Program _cBatch 3 _bSenior Executives Class _dSenior Executives Class
520			_aKidney failure or end stage renal disease (ESRD) is the 10th leading cause of death in the Philippines today. Once diagnosed, the patient needs lifetime dialysis to replace kidney function or a kidney transplant. There are about 20,000 patients on chronic hemodialysis (HD) in the Philippines today. HD in a highly technical procedure, requiring advanced methods to ensure the highest purity of water. The NKTI is the lead agency under the Department of Health for kidney disease management and runs one of the largest HD Centers in the country, dialyzing more than 120 patients daily, 24 hours a day, 6 days a week. On May 28, 2014 the HD Centers of the NKTI experiences an increasing number of HD patients developing chills. In the interest of patients safety, the NKTI Administration decided to shut down operations of its HD Centers while investigating the cause of the chills. More than 100 patients were displaced, who were scheduled for regular HD that day, and more than 300 patients for the rest of the week. All posible causes for the chills were looked into from dialysis access infections, contamination of the water treatment facility, dialyzer re-processing, HD machine dialysate ports, chemical water tests, and heparin. After the problem wa solved, the HD Centers were back to normal operations after 9 days. A total of 21 patients required hospital admission, 49 ptients were given intravenous antibiotics for 10 to 14 days, and there was no death associated with this outbreak. This is an example of the proper handling of an important complication that HD Center should be equipped to handle.
650			_aNational Kidney and Transplant Institute. _918273
650			_aHealth services administration _zPhilippines.
700			_aCaparros, Nanette C. (Chairperson) _918274
700			_aChavez, Joselito R. (Member) _94889
700			_aMarson, Brian D. (Member) _918275
700			_aPadla, Themistocles D. (Member) _918276
856			_21 _30 _qpdf _uhttps://library.dap.edu.ph/cgi-bin/koha/opac-retrieve-file.pl?id=26860d634f37aed6d8d0544ab89776c0 _yView Digital Copy _1STAFF
942			_cTH _2lcc
999			_c1142 _d1142