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Quality Improvement Goals for Acute Kidney Injury

Research output: Contribution to journalArticle

Kianoush Kashani, Mitchell Howard Rosner, Michael Haase, Andrew J.P. Lewington, Donal J. O'Donoghue, F. Perry Wilson, Mitra K. Nadim, Samuel A. Silver, Alexander Zarbock, Marlies Ostermann, Ravindra L. Mehta, Sandra L. Kane-Gill, Xiaoqiang Ding, Peter Pickkers, Azra Bihorac, Edward D. Siew, Erin F. Barreto, Etienne Macedo, John A. Kellum, Paul M. Palevsky & 11 more Ashita Jiwat Tolwani, Claudio Ronco, Luis A. Juncos, Oleksa G. Rewa, Sean M. Bagshaw, Theresa Ann Mottes, Jay L. Koyner, Kathleen D. Liu, Lui G. Forni, Michael Heung, Vin Cent Wu

Original languageEnglish
Pages (from-to)941-953
Number of pages13
JournalClinical journal of the American Society of Nephrology : CJASN
Issue number6
Early online date17 May 2019
Publication statusPublished - 7 Jun 2019

King's Authors


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.

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