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Quality of care and safety measures of acute renal replacement therapy: Workgroup statements from the 22nd acute disease quality initiative (ADQI) consensus conference.

Abstract：

PURPOSE:There is wide variation in the practice of acute renal replacement therapy (RRT). Quality of care is suboptimal, and substantial knowledge-to-care gaps need to be addressed. The quality of care for patients receiving acute RRT has been recognized as a clinical and research priority. Quality indicators (QIs) can be implemented to measure the quality of care received by patients and further be used as targets for continuous quality improvement initiatives focused on the prescription, delivery, and monitoring of acute RRT care. METHODS:The 22nd ADQI meeting was held in San Diego, USA, from October 28th to 30th 2018. Prior to the meeting, a literature review was conducted, and 3 teleconferences were held to develop research questions and consensus statements. These were presented at the meeting and refined before being approved by all ADQI delegates. RESULTS:Four research questions and fifteen consensus statements were generated. These focused on monitoring the quality of acute RRT along with the Donabedian quality measure domains of structure, process, and outcome. Recommendations for clinical practice and a research agenda for each question were also proposed. CONCLUSION:Currently, there remains few validated QIs for acute RRT. These need further evaluation, need benchmarks established, and ultimately require implementation into clinical practice.

journal_name

J Crit Care

journal_title

Journal of critical care

authors

Rewa OG,Tolwani A,Mottes T,Juncos LA,Ronco C,Kashani K,Rosner M,Haase M,Kellum J,Bagshaw SM,ADQI Consensus Meeting Members on behalf of ADQI XXII.

doi

10.1016/j.jcrc.2019.07.003

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

52-57

eissn

0883-9441

issn

1557-8615

pii

S0883-9441(19)30514-3

journal_volume

54

pub_type

共识发展会议,杂志文章

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