Clinical Competence in Continuous Arteriovenous Hemofiltration
Authors: HEALTH AND PUBLIC POLICY COMMITTEE
Journal: Annals of Internal Medicine (1988)

Position Paper1 June 1988Clinical Competence in Continuous Arteriovenous HemofiltrationHEALTH AND PUBLIC POLICY COMMITTEEHEALTH AND PUBLIC POLICY COMMITTEESearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-108-6-900 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe selective granting of clinical staff privileges to physicians is one of the primary mechanisms used by institutions to uphold the quality of care. The Joint Commission on Accreditation of Hospitals requires that the granting of initial or continuing medical staff privileges be based on assessments of applicants against professional criteria that are specified in the medical staff bylaws. Physicians themselves are thus charged with identifying the criteria that constitute professional competence and with evaluating their peers on the basis of such criteria. Yet the process of evaluating a physician's knowledge and competence is often constrained by the evaluator's own...References1. KRAMERWIGGERRIEGERMATTHAEISCHELER PWJDF. Arteriovenous hemofiltration: a new and simple method for treatment of overhydrated patients resistant to diuretics. Klin Wochenschr. 1977;55:1121. CrossrefMedlineGoogle Scholar2. EISENHAUER T. Development and actual performance of continuous arteriovenous hemofiltration (CAVH). In: SIEBERTH HG, AACHEN HM, eds. Continuous Arteriovenous Hemofiltration (CAVH). Basel, Switzerland: Karger; 1985. CrossrefGoogle Scholar3. KRAMER P. Limitations and pitfalls of continuous arteriovenous hemofiltration. Arteriovenous Hemofiltration. Berlin: SPRINGER-VERLAG; 1985. CrossrefGoogle Scholar4. KRAMER P. Differential indications for the use of continuous arteriovenous hemofiltration. Arteriovenous Hemofiltration. Berlin: SPRINGER-VERLAG; 1985. CrossrefGoogle Scholar5. BOSCH J. Continous arteriovenous hemofiltration (CAVH): operational characteristics and clinical use. AKF Nephrol Letter. 3(3), 1986. Google Scholar6. MISLER S. Long-term ultrafiltration as a treatment of refractory congestive heart failure. NY State J Med. 1984;10:518. Google Scholar7. MORGANMANSELLTHOMPSON SMT. Fluid removal by hemofiltration in diuretic-resistant cardiac failure. Br Heart J. 1985;54:218. CrossrefMedlineGoogle Scholar8. KRAMERKAUFHOLDGRONEWIGGERRIEGER PCHWJ. Management of anuric intensive-care patients with arteriovenous hemofiltration. Artif Organs. 1980;3:255. Google Scholar9. GOLPER T. Continuous arteriovenous hemofiltration in acute renal failure. Am J Kidney Dis. 1985;6:373. CrossrefMedlineGoogle Scholar10. PAGANININAKAMOTO ES. Continous slow ultrafiltration in oliguric acute renal failure. Trans Am Soc Artif Intern Organs. 1980;26:201. MedlineGoogle Scholar11. OLBRICHTMUELLERSCHUREKSTOLTE CCHH. Treatment of acute renal failure in patients with multiple organ failure by continuous spontaneous hemofiltration. Trans Am Soc Artif Intern Organs. 1982;28:33. MedlineGoogle Scholar12. KAPLANLONGNECKERFOLBERT ARV. Continuous arteriovenous hemofiltration: a report of six months' experience. Ann Intern Med. 1984;100:358. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: AMERICAN COLLEGE OF PHYSICIANS Philadelphia, Pennsylvania*This paper is the eighth in a series being published as a position of the American College of Physicians. It was authored by Jeffrey L. Carson, M.D., and was developed for the Clinical Privileges Project Steering Committee by the Clinical Privileges Subcommittee on Nephrology: Richard J. Kahn, M.D., Chairman; Thomas F. Ferris, M.D. (representing the American Society of Nephrology); Paul L. Kimmel, M.D.; Robert J. Rubin, M.D.; and Stanley Goldfarb, M.D. Members of the Clinical Privileges Project Steering Committee were Eugene A. Hildreth, M.D., Chairman; Whitney W. Addington, M.D.; James A. Cowan, M.D.; William E. Golden, M.D.; William A. Reynolds, M.D.; James S. Roberts, M.D.; Sankey V. Williams, M.D.; and Linda L. Blank (Consultant). This paper was approved by the Health and Public Policy Committee on 25 March 1987 and the Board of Regents on 30 March 1987.This series will be published, along with other privilege delineation guidelines, in a collection, the availability of which will be announced later. The collection will include the "Guide to the Use of American College of Physicians Statements on Clinical Competence" which appeared on pages 588 to 589 of the October 1987 issue. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byModalities of Dialysis for Acute Renal FailureEpidemic End-Stage Renal Disease and Nephrology Manpower Trends: Crisis or Opportunity?Renal Replacement Therapy for Acute Renal Failure: Matching the Method to the PatientProcedural Skills of Practicing Nephrologists A National Survey of 700 Members of the American College of PhysiciansThomas G. Tape, MD, Robert S. Wigton, MD, Linda L. Blank, BA, Jo A. Nicolas, BA 1 June 1988Volume 108, Issue 6Page: 900-902KeywordsHealth care qualityHemofiltrationMedical staffNephrologyPrevention, policy, and public healthPublic policy ePublished: 1 December 2008 Issue Published: 1 June 1988 Copyright & Permissions© 1988 American College of PhysiciansPDF downloadLoading ...