Arek Brigmon*
The ESRD Conditions for Coverage specify the duties of a dialysis unit medical director, which cover a variety of quality, safety, and instructional areas. Many of these duties necessitate leadership abilities, which are neither innate nor learned as part of the medical director's education. An effective medical director can influence the culture of the dialysis facility to foster an environment where patients and staff can voice concerns about subpar procedures without fear of retaliation, and where quality improvement and safety are continuously iterated processes that value feedback from all stakeholders. As a result, fewer shortcuts and workarounds that could jeopardise patient safety and quality are used since regulations and procedures make it simpler to act morally.
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