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Quality Improvement Goals for Acute Kidney Injury

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Quality Improvement Goals for Acute Kidney Injury. / 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; Wu, Vin Cent.

In: Clinical journal of the American Society of Nephrology : CJASN, Vol. 14, No. 6, 07.06.2019, p. 941-953.

Research output: Contribution to journalArticle

Harvard

Kashani, K, Rosner, MH, Haase, M, Lewington, AJP, O'Donoghue, DJ, Wilson, FP, Nadim, MK, Silver, SA, Zarbock, A, Ostermann, M, Mehta, RL, Kane-Gill, SL, Ding, X, Pickkers, P, Bihorac, A, Siew, ED, Barreto, EF, Macedo, E, Kellum, JA, Palevsky, PM, Tolwani, AJ, Ronco, C, Juncos, LA, Rewa, OG, Bagshaw, SM, Mottes, TA, Koyner, JL, Liu, KD, Forni, LG, Heung, M & Wu, VC 2019, 'Quality Improvement Goals for Acute Kidney Injury', Clinical journal of the American Society of Nephrology : CJASN, vol. 14, no. 6, pp. 941-953. https://doi.org/10.2215/CJN.01250119

APA

Kashani, K., Rosner, M. H., Haase, M., Lewington, A. J. P., O'Donoghue, D. J., Wilson, F. P., ... Wu, V. C. (2019). Quality Improvement Goals for Acute Kidney Injury. Clinical journal of the American Society of Nephrology : CJASN, 14(6), 941-953. https://doi.org/10.2215/CJN.01250119

Vancouver

Kashani K, Rosner MH, Haase M, Lewington AJP, O'Donoghue DJ, Wilson FP et al. Quality Improvement Goals for Acute Kidney Injury. Clinical journal of the American Society of Nephrology : CJASN. 2019 Jun 7;14(6):941-953. https://doi.org/10.2215/CJN.01250119

Author

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 ; Wu, Vin Cent. / Quality Improvement Goals for Acute Kidney Injury. In: Clinical journal of the American Society of Nephrology : CJASN. 2019 ; Vol. 14, No. 6. pp. 941-953.

Bibtex Download

@article{d18a91998bbc4a3dbe9c267b6436a9e9,
title = "Quality Improvement Goals for Acute Kidney Injury",
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.",
keywords = "Acute Disease, Acute Kidney Injury, acute renal failure, ADQI, Emergency Service, Hospital, Goals, Health Care Costs, hospitalization, Incidence, Inpatients, Management, Nurse Practitioners, Patient Discharge, Pharmacists, Prevention, Quality Improvement, Quality of Health Care",
author = "Kianoush Kashani and Rosner, {Mitchell Howard} and Michael Haase and Lewington, {Andrew J.P.} and O'Donoghue, {Donal J.} and Wilson, {F. Perry} and Nadim, {Mitra K.} and Silver, {Samuel A.} and Alexander Zarbock and Marlies Ostermann and Mehta, {Ravindra L.} and Kane-Gill, {Sandra L.} and Xiaoqiang Ding and Peter Pickkers and Azra Bihorac and Siew, {Edward D.} and Barreto, {Erin F.} and Etienne Macedo and Kellum, {John A.} and Palevsky, {Paul M.} and Tolwani, {Ashita Jiwat} and Claudio Ronco and Juncos, {Luis A.} and Rewa, {Oleksa G.} and Bagshaw, {Sean M.} and Mottes, {Theresa Ann} and Koyner, {Jay L.} and Liu, {Kathleen D.} and Forni, {Lui G.} and Michael Heung and Wu, {Vin Cent}",
year = "2019",
month = "6",
day = "7",
doi = "10.2215/CJN.01250119",
language = "English",
volume = "14",
pages = "941--953",
journal = "Clinical journal of the American Society of Nephrology : CJASN",
issn = "1555-9041",
publisher = "American Society of Nephrology",
number = "6",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Quality Improvement Goals for Acute Kidney Injury

AU - Kashani, Kianoush

AU - Rosner, Mitchell Howard

AU - Haase, Michael

AU - Lewington, Andrew J.P.

AU - O'Donoghue, Donal J.

AU - Wilson, F. Perry

AU - Nadim, Mitra K.

AU - Silver, Samuel A.

AU - Zarbock, Alexander

AU - Ostermann, Marlies

AU - Mehta, Ravindra L.

AU - Kane-Gill, Sandra L.

AU - Ding, Xiaoqiang

AU - Pickkers, Peter

AU - Bihorac, Azra

AU - Siew, Edward D.

AU - Barreto, Erin F.

AU - Macedo, Etienne

AU - Kellum, John A.

AU - Palevsky, Paul M.

AU - Tolwani, Ashita Jiwat

AU - Ronco, Claudio

AU - Juncos, Luis A.

AU - Rewa, Oleksa G.

AU - Bagshaw, Sean M.

AU - Mottes, Theresa Ann

AU - Koyner, Jay L.

AU - Liu, Kathleen D.

AU - Forni, Lui G.

AU - Heung, Michael

AU - Wu, Vin Cent

PY - 2019/6/7

Y1 - 2019/6/7

N2 - 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.

AB - 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.

KW - Acute Disease

KW - Acute Kidney Injury

KW - acute renal failure

KW - ADQI

KW - Emergency Service, Hospital

KW - Goals

KW - Health Care Costs

KW - hospitalization

KW - Incidence

KW - Inpatients

KW - Management

KW - Nurse Practitioners

KW - Patient Discharge

KW - Pharmacists

KW - Prevention

KW - Quality Improvement

KW - Quality of Health Care

UR - http://www.scopus.com/inward/record.url?scp=85067587684&partnerID=8YFLogxK

U2 - 10.2215/CJN.01250119

DO - 10.2215/CJN.01250119

M3 - Article

C2 - 31101671

AN - SCOPUS:85067587684

VL - 14

SP - 941

EP - 953

JO - Clinical journal of the American Society of Nephrology : CJASN

JF - Clinical journal of the American Society of Nephrology : CJASN

SN - 1555-9041

IS - 6

ER -

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