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Updated: May 3, 2026
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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
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Changing practice to prevent contrast-induced nephropathy
Michele L Yellen1, Martha D Buffum2
1Nursing and Radiology Departments, Veterans Affairs Medical Center, University of California San Francisco, School of Nursing, San Francisco, California.
Summary
A new protocol combining oral hydration and IV saline safely prevented kidney damage after CT scans. This quality improvement project reduced patient recovery time and healthcare costs.
Area of Science:
- Radiology Nursing
- Nephrology
- Quality Improvement Science
Background:
- Contrast-induced nephropathy (CIN) is a risk associated with computed tomography (CT) scans.
- Existing protocols for CIN prevention require optimization.
- Multidisciplinary staff engagement is crucial for implementing new clinical protocols.
Purpose of the Study:
- To test a novel protocol for preventing contrast-induced nephropathy (CIN) in patients undergoing CT scans.
- To evaluate the safety and efficacy of a combined oral hydration and intravenous saline protocol.
- To assess the impact of the protocol on patient recovery time and healthcare costs.
Main Methods:
- A quality improvement project was conducted.
- The protocol involved preprocedure oral hydration and postprocedure intravenous saline administration.
- A multidisciplinary staff systematically engaged in protocol testing.
Main Results:
- The protocol safely improved kidney function in patients.
- Postprocedure recovery time was significantly reduced.
- Annual healthcare costs associated with CIN were decreased.
Conclusions:
- A combined hydration protocol is effective in preventing CIN.
- This quality improvement initiative demonstrates the profound impact of dedicated nursing staff on patient care and policy.
- The protocol offers a safe, cost-effective approach to managing CIN risk in radiology.
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