The role of Key Performance Indicators (KPIs) in Clinical Self- Assessment of Quality of Service Offered to the Patients under Chronic Hemodialysis in Rwanda

Abstract

Introduction: Key Performance Indicators (KPIs) are quantifiable metrics used in managing patients under hemodialysis and measuring performance in care quality. This study examined the performance of hemodialysis centers at Africa Healthcare Network, Rwanda using KPIs. 

Methods: We analyzed the data recorded in Clinicea (electronic file) between February and November 2022, using KPIs. 

Results: In all three centers during the above-mentioned period, all sessions were recorded; in more than 94% of patients, their Kt/V urea was recorded, and the target varied between 69% to 85%; almost half of the patients did their blood tests, and less than three quarters met the target. Few patients had AVF (30% in November). The beds were under-used; no center has met two shifts per day at 100%, the same for the nurses with less than 2.5 sessions per nurse per day. 

Conclusion: This study showed that the hemodialysis centers were performing fairly and highlight the need for improving the quality of care, especially in Low-Income Countries like Rwanda, where there is a shortage of Physicians and Nephrologists.