The reports for the years 2011 to 2013 show largely one thing: Quality Assurance (QA) provides for significant and especially rapid improvements in all areas, for it gives quarterly feedback to each German dialysis facility. By now, the tolerance limit of 15% in patients with “bad outcomes” is by far gone below in almost every dialysis facility. There are just a few isolated cases for facilities showing inconsistency in two quarters successively. The percentage of inconsistent cases for e.g. Kt/V values is under 10% ever since the end of 2009.
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