Quality Improvement Goals for Acute Kidney Injury
Journal
Clinical journal of the American Society of Nephrology : CJASN
Journal Volume
14
Journal Issue
6
Date Issued
2019-06-07
Author(s)
Kashani, Kianoush
Rosner, Mitchell Howard
Haase, Michael
Lewington, Andrew J P
O'Donoghue, Donal J
Wilson, F Perry
Nadim, Mitra K
Silver, Samuel A
Zarbock, Alexander
Ostermann, Marlies
Mehta, Ravindra L
Kane-Gill, Sandra L
Ding, Xiaoqiang
Pickkers, Peter
Bihorac, Azra
Siew, Edward D
Barreto, Erin F
Macedo, Etienne
Kellum, John A
Palevsky, Paul M
Tolwani, Ashita Jiwat
Ronco, Claudio
Juncos, Luis A
Rewa, Oleksa G
Bagshaw, Sean M
Mottes, Theresa Ann
Koyner, Jay L
Liu, Kathleen D
Forni, Lui G
Heung, Michael
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.
Subjects
ADQI; Acute Disease; Acute Kidney Injury; Emergency Service, Hospital; Goals; Health Care Costs; Incidence; Inpatients; Management; Nurse Practitioners; Patient Discharge; Pharmacists; Prevention; Quality Improvement; Quality of Health Care; acute renal failure; hospitalization
SDGs
Other Subjects
acute kidney failure; Article; awareness; decision making; Delphi study; emergency care; emergency ward; follow up; health care cost; health care personnel; health care quality; health care system; hospitalization; human; immunosuppressive treatment; interpersonal communication; kidney biopsy; kidney function; kidney transplantation; nurse practitioner; patient care; patient monitoring; prevalence; quality of life; renal replacement therapy; risk assessment; risk factor; socioeconomics; total quality management; acute kidney failure; community care; consensus; organization; preventive health service; primary prevention; procedures; professional standard; secondary prevention; tertiary prevention; Acute Kidney Injury; Community Health Services; Congresses as Topic; Consensus; Humans; Preventive Health Services; Primary Prevention; Professional Role; Quality Improvement; Quality Indicators, Health Care; Renal Replacement Therapy; Risk Assessment; Risk Factors; Secondary Prevention; Tertiary Prevention
Type
journal article