Future Blood Vessel Puncture Procedure With Use of Head Mount Display

of HD (volume overload with cardio-respiratory compromise unresponsive to medical management, metabolic acidosis with hemodynamic compromise unresponsive to medical management, hyperkalemia with or without EKG changes unresponsive to medical management, life-threatening chemical overdose) and postponement of HD to next day in non-emergent cases. This protocol also included identifying non-dialysis procedures that could interfere with timely initiation of dialysis procedures and initiating the dialysis treatment in such a way that it does not interfere with the non-dialysis procedure. Follow up data 3 months after standard protocol initiation showed only 11/798 (1.38%) cases of AHHD with no reported delays or adverse events. This QI project clearly demonstrates that by promoting HD during business hours and identifying delays in treatment we can reduce hospital costs and promote patient safety. This involves minimizing treatment delays by timely placement of HD orders, scheduling inpatient dialysis procedures in a manner that efficiently utilizes the existing resources, while mitigating delays in other procedures that these patients may have during hospitalization, prioritizing on time delivery of non-dialysis procedures and postponing of non-emergent dialysis to the next day. This can also positively impact the overall healthcare costs associated with HD for end-stage renal disease patients in the United States both in the short term and long term. Conflict of interest: Each Author has contributed substantially to the research, preparation and production of the paper and approves of its submission to the Journal. All authors of this manuscript report no conflict of interest. initiation of AHHD, enforcing strict adherence to laboratory parameters/clinical criteria for initiation Omid Bakhtar, Bijin Thajudeen and Amy Sussman Department of Nephrology, University of Arizona Medical Center, Tucson, AZ, USA Email: bijint@gmail.com