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Quality measures in acute kidney injury
Amjad Mehboob1, Robert Zimmerman1, Stuart Abramson1
1Division of Nephrology and Transplantation.
Current Opinion in Nephrology and Hypertension
|January 12, 2018
Summary
Quality measures for acute kidney injury (AKI) care are underdeveloped in nephrology clinics. This review examines potential AKI quality measures to improve patient outcomes and guide clinical practice.
Area of Science:
- Nephrology
- Healthcare Quality Improvement
- Clinical Practice Guidelines
Background:
- Quality measure assessment and reporting are evolving in end-stage renal disease care.
- Current quality measures in ambulatory nephrology clinic care are inchoate.
- Acute kidney injury (AKI) quality measures have not received sufficient attention despite significant nephrology provider effort.
Purpose of the Study:
- To review candidate quality measures for acute kidney injury (AKI).
- To assess the evidence supporting the use of each potential AKI quality measure.
- To guide the development of standards for AKI care in nephrology.
Main Methods:
- Literature review of accumulating research on AKI care.
- Identification of potential quality measures based on current evidence.
- Assessment of the strength of evidence for each candidate measure.
Main Results:
- Potential AKI quality measures include timing of nephrology consultation and follow-up after hospitalization.
- Other candidate measures involve early detection, medication dosing, hospital readmissions, length of stay, cost, and mortality.
- The evidence supporting these measures as standards for AKI care is currently being assessed.
Conclusions:
- There is a need to develop and implement robust quality measures for AKI care.
- Standardizing AKI quality measures can improve patient outcomes and guide nephrology practice.
- Further research is needed to validate and refine proposed AKI quality measures.
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