DNA rates at the centre were averaging 10% each month which led to poorer health outcomes for patients and sometimes resulting in transfer to tertiary hospital for treatment and care away from their local community.

Poor documentation poses significant challenges, particularly during care transitions and high workload periods. This leads to delays and errors in treatment, ultimately compromising patient care quality. Our project aims to address this issue by investigating the root causes of poor documentation in a metropolitan hospital's dialysis unit, using National Safety and Quality Health Services Standards (NSQHS) and hospital policies to enhance documentation compliance and quality. 

Adapting our primary care process by using a model of care to allocate tasks to each week, ensuring all nurses are responsible for completing those tasks on the patients they are directly looking after each shift.

Patients with kidney disease are at risk of developing hyperphosphatemia, it may be due to:

- Lack of awareness in renal dietary requirements, leading patients to eating foods rich in phosphate.

- Lack of knowledge on how to take phosphate binders correctly.

We would like to improve renal patients’ hyperphosphatemia status in our unit by providing more face-to-face education between nursing staff and patients.

An array of patient resources is required to support patient care. These are often developed locally to meet the needs of certain patient cohorts. All patient information material must meet specific prerequisites including health literacy requirements and consideration for culturally and linguistically diverse groups. Once consumer input has been sought, these brochures will be available to patients.  Investing the time into getting these ‘right’ is important to ensure the final product is clear, correct and user-friendly. As consumer involvement and multi-disciplinary team input becomes more commonplace, a clearer process has been developed.