[Quality assurance and control of dialysis access].

Preliminary experience on total quality program in access surgery for dialysis is described; this kind of "border-line" surgery requires peculiar standards, documents and quality indexes. The use of a quality index based on a minimum success rate of 90% in elective access surgery is proposed. In addition, a "cross-index", suitable for quality evaluation of different dialysis sectors at the same time, is expressed. First interventions aimed at the optimal use of resources are described.