An official website of the United States government
Dialysis Event
AKI Guidance and Instructions
For reporting data involving Acute Kidney Injury (AKI) patients:
Protocols
2025 Dialysis Event Protocol [PDF – 500 KB]
Data Collection Forms & Instructions
All Data Collection Forms are Print-only
Surveys
Monthly Reporting Plan
Denominator Form
Event Form
Prevention Process Measures
Analysis Resources
Analysis Manual
Guides for NHSN Reports
- 3 Steps to Review NHSN Dialysis Event Surveillance Data [PDF – 286 KB]
- CMS ESRD QIP Rule Report [PDF – 272 KB]
- Bloodstream Infections Rate Table Report [PDF – 321 KB]
- Access Related Bloodstream Infections Rate Table Report [PDF – 310 KB]
- 21 Day Rule Checks Report [PDF – 235 KB]
- Prevention Process Measures Percent Adherence Report [PDF – 300 KB]
- Dialysis Events (Detailed) Report [PDF – 250 KB]
- Dialysis Events BSI Run Chart Reports [PDF – 250 KB]
User Interface Resources
- Changing Your Email Address in NHSN and SAMS [PDF – 350 KB]
- Updating Your Facility CCN in NHSN [PDF – 350 KB]
- Identifying as a Pediatric Hemodialysis Facility [PDF – 250 KB]
- Updating the Patient ID Field to Indicate Medical Record Number [PDF – 300 KB]
Reporting Resources
- Healthcare Facility HAI Reporting Requirements to CMS via NHSN Current and Proposed Requirements [PDF – 102 KB]
- Reporting Requirements and Deadlines in NHSN per CMS Current Rules [PDF – 157 KB]
- FAQs about NHSN and CMS ESRD QIP Rule
- For more information about the CMS rule, go to End Stage Renal Disease (ESRD) Quality Incentive Program (QIP)
- QIP Questions? Email CMS ESRD QIP Helpdesk at ESRDQIP@cms.hhs.gov
Additional Resources
- 2025 Dialysis Event Manual [PDF – 2 MB]
- Bloodstream Infection (BSI) Rate Stratified by Vascular Access Type—NHSN Dialysis Event Data, 2014 [PDF – 46 KB]
- Guide to the NHSN Dialysis Event Surveillance BSI SIR Measure [PDF – 898 KB]
- Dialysis Event External Validation Toolkit and Appendices 2023 [PDF – 1 MB]
Dialysis Training
Educational Roadmap
CMS Requirements
Dialysis Safety
FAQs
Supporting Materials
NHSN Updates
- Annual Dialysis Event Updates – Jan 2024 [PDF – 1 MB]
- NHSN Release Management
Information on defects currently impacting the NHSN application.
Calculators
Working Day Calculator for Denominators for Dialysis Event Surveillance
Email: NHSN@cdc.gov
Contact with ‘Dialysis’ in the subject line with any questions about calculators
Hospital/Dialysis Facility Communication
- HIPAA and Dialysis Event Surveillance [PDF – 110 KB]
- Closing the information gap: Health information exchange in dialysis Nephrology News & Issues 2017
- September 27, 2017: Improving Dialysis Facility Infection Reporting Communication with Hospitals: Successes and Best Practices ESRD NCC Discovery Event
