Quality Improvement Goals for Acute Kidney Injury.

Autor:	Kashani K; Division of Nephrology and Hypertension, Division of Pulmonary and Critical Care Medicine, Department of Medicine and., Rosner MH; Division of Nephrology, University of Virginia Health System, Charlottesville, Virginia., Haase M; Medical Faculty, Otto-von-Guericke University Magdeburg, Magdeburg, Germany.; Medical Care Center Diaverum, Potsdam, Germany., Lewington AJP; Renal Department, St. James's University Hospital, Leeds, United Kingdom.; National Institute for Health Research ( NIHR ) In-Vitro Diagnostic Co-operative, Leeds, United Kingdom., O'Donoghue DJ; Department of Renal Medicine, Salford Royal National Health Services Foundation Trust, Stott Lane, Salford, United Kingdom., Wilson FP; Yale University School of Medicine, Program of Applied Translational Research, New Haven, Connecticut., Nadim MK; Division of Nephrology and Hypertension, Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California., Silver SA; Division of Nephrology, Kingston Health Sciences Center, Queen's University, Kingston, Ontario, Canada., Zarbock A; Department of Anesthesiology, Intensive Care and Pain Medicine, University Hospital Münster, Münster, Germany., Ostermann M; King's College London, Guy's and St. Thomas' Hospital, London, United Kingdom., Mehta RL; Division of Nephrology, Department of Medicine, University of California, San Diego Medical Center, San Diego, San Diego, California., Kane-Gill SL; Department of Pharmacy and Therapeutics, School of Pharmacy., Ding X; Department of Nephrology, Shanghai Institute for Kidney Disease and Dialysis, Shanghai Medical Center for Kidney Disease, Zhongshan Hospital, Fudan University, Shanghai, China., Pickkers P; Department of Intensive Care Medicine, Radboud University Medical Center, Nijmegen, The Netherlands., Bihorac A; Precision and Intelligent Systems in Medicine, Division of Nephrology, Hypertension and Renal Transplantation, Department of Medicine, University of Florida, Gainesville, Florida., Siew ED; Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.; Vanderbilt Center for Kidney Disease and Integrated Program for AKI Research, Nashville, Tennessee.; Tennessee Valley Healthcare System, Veterans Administration Medical Center, Veteran's Health Administration, Nashville, Tennessee., Barreto EF; Department of Pharmacy, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota., Macedo E; Division of Nephrology, Department of Medicine, University of California, San Diego Medical Center, San Diego, San Diego, California., Kellum JA; Department of Critical Care Medicine, School of Medicine, and., Palevsky PM; Department of Critical Care Medicine, School of Medicine, and.; Renal Section, Medical Service, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania., Tolwani AJ; Division of Nephrology, University of Alabama at Birmingham, Birmingham, Alabama., Ronco C; Department of Nephrology, University of Padova, Padova, Italy.; Department of Nephrology, Dialysis and Transplantation, AULSS8 Regione Veneto, Vicenza, Italy.; International Renal Research Institute, San Bortolo Hospital, Vicenza, Italy., Juncos LA; Division of Nephrology, Central Arkansas Veterans' Healthcare System, University of Arkansas for Medical Sciences, Little Rock, Arkansas., Rewa OG; Department of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada., Bagshaw SM; Department of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada., Mottes TA; Department of Pediatrics, Texas Children's Hospital, Houston, Texas., Koyner JL; Section of Nephrology, Department of Medicine, University of Chicago, Chicago, Illinois., Liu KD; Divisions of Nephrology and Critical Care, Departments of Medicine and Anesthesia, University of California, San Francisco, San Francisco, California., Forni LG; Department of Clinical and Experimental Medicine, University of Surrey and Royal Surrey County Hospital National Health Services Foundation Trust, Guildford, United Kingdom., Heung M; Division of Nephrology, Department of Medicine, University of Michigan, Ann Arbor, Michigan; and., Wu VC; Division of Nephrology, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Jazyk:	angličtina
Zdroj:	Clinical journal of the American Society of Nephrology : CJASN [Clin J Am Soc Nephrol] 2019 Jun 07; Vol. 14 (6), pp. 941-953. Date of Electronic Publication: 2019 May 17.
DOI:	10.2215/CJN.01250119
Abstrakt:	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. (Copyright © 2019 by the American Society of Nephrology.)
Databáze:	MEDLINE
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