The Effectiveness of Peritoneal Dialysis System Implementation on Case Management.

Peritoneal dialysis management system (PDS) is special design system to integrate all dialysis-related information for PD case managers. This study aims to investigate the impact of peritoneal dialysis system (PDS) implementation on the work efficacy of PD case managers. This study carried out in the PD unit of medical center in northern Taiwan. We utilized work sampling and chart reviews to compare the changes of work efficacy of PD case managers before and 3 months after PDS implementation. The results of this study showed direct care increased to 38.3% while indirect care decreased to 18% and unit-related care to 6.2%. The time spent on the five category activities has statistically significant difference before and after implementation of PDS. The completion rate of records has no statistically significant difference before and after the implementation of PDS. This study demonstrated that PDS implementation significantly affected the care patterns of PD for case managers.