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Quality improvement goals for acute kidney injury

Kashani, K., Rosner, M.H., Haase, M., Lewington, A.J.P., O'Donoghue, D.J., Wilson, F.P., Nadim, M.K., Silver, S.A., Zarbock, A., Ostermann, M. , Mehta, R.L., Kane-Gill, S.L., Ding, X., Pickkers, P., Bihorac, A., Siew, E.D., Barreto, E.F., Macedo, E., Kellum, J.A., Palevsky, P.M., Tolwani, A.J., Ronco, C., Juncos, L.A., Rewa, O.G., Bagshaw, S.M., Mottes, T.A., Koyner, J.L., Liu, K.D., Forni, Lui, Heung, M. and Wu, V.-C. (2019) Quality improvement goals for acute kidney injury Clinical Journal of the American Society of Nephrology, 14 (6). pp. 941-953.

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Abstract

AKI is a global concern with a high incidence among patients across acute care settings. AKI is associated with significant clinical consequences and increased health care costs. Preventive measures, as well as rapid identification of AKI, have been shown to improve outcomes in small studies. Providing high-quality care for patients with AKI or those at risk of AKI occurs across a continuum that starts at the community level and continues in the emergency department, hospital setting, and after discharge from inpatient care. Improving the quality of care provided to these patients, plausibly mitigating the cost of care and improving short- and long-term outcomes, are goals that have not been universally achieved. Therefore, understanding how the management of AKI may be amenable to quality improvement programs is needed. Recognizing this gap in knowledge, the 22nd Acute Disease Quality Initiative meeting was convened to discuss the evidence, provide recommendations, and highlight future directions for AKI-related quality measures and care processes. Using a modified Delphi process, an international group of experts including physicians, a nurse practitioner, and pharmacists provided a framework for current and future quality improvement projects in the area of AKI. Where possible, best practices in the prevention, identification, and care of the patient with AKI were identified and highlighted. This article provides a summary of the key messages and recommendations of the group, with an aim to equip and encourage health care providers to establish quality care delivery for patients with AKI and to measure key quality indicators.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Biosciences and Medicine
Authors :
NameEmailORCID
Kashani, K.
Rosner, M.H.
Haase, M.
Lewington, A.J.P.
O'Donoghue, D.J.
Wilson, F.P.
Nadim, M.K.
Silver, S.A.
Zarbock, A.
Ostermann, M.
Mehta, R.L.
Kane-Gill, S.L.
Ding, X.
Pickkers, P.
Bihorac, A.
Siew, E.D.
Barreto, E.F.
Macedo, E.
Kellum, J.A.
Palevsky, P.M.
Tolwani, A.J.
Ronco, C.
Juncos, L.A.
Rewa, O.G.
Bagshaw, S.M.
Mottes, T.A.
Koyner, J.L.
Liu, K.D.
Forni, Luil.forni@surrey.ac.uk
Heung, M.
Wu, V.-C.
Date : 7 June 2019
DOI : 10.2215/CJN.01250119
Copyright Disclaimer : Copyright © 2019 by the American Society of Nephrology
Uncontrolled Keywords : Acute Kidney Injury; Acute renal failure; ADQI; Prevention; Management; Quality Improvement; Incidence; Pharmacists; Acute Disease; Goals; Inpatients; Patient Discharge; Quality of Health Care; Hospitalization; Health Care Costs; Nurse Practitioners; Emergency Service; Hospital
Depositing User : Diane Maxfield
Date Deposited : 28 Oct 2019 15:12
Last Modified : 28 Oct 2019 15:12
URI: http://epubs.surrey.ac.uk/id/eprint/852701

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