Related Experiment Video
Updated: Aug 26, 2025
03:19
Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
Published on: June 21, 2024
1.3K
Quality, safety, and implementation science in acute kidney care
Oleksa G Rewa1, Kianoush Kashani2,3
1Department of Critical Care Medicine, University of Alberta, Edmonton, Alberta, Canada.
Current Opinion in Critical Care
|October 13, 2022
Summary
Implementing quality and safety in acute kidney care requires robust implementation science. This review highlights recent initiatives in acute kidney injury (AKI), kidney replacement therapy (KRT), and post-AKI recovery.
Area of Science:
- Nephrology
- Implementation Science
- Healthcare Quality Improvement
Background:
- Quality and safety are paramount in acute kidney care (AKC).
- Numerous initiatives have emerged to address these critical aspects.
- Rigorous implementation science is essential for integrating these initiatives into clinical practice.
Conclusions:
- Quality and safety remain central to AKC.
- Ongoing efforts are needed to further develop and implement initiatives for improving patient care.
- Continued focus on implementation science is crucial for advancing AKC.
More Related Videos
Related Concept Videos
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention
53
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
53
01:20Acute Kidney Injury V: Interprofessional Care
40
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
40
01:22Acute Kidney Injury I: Introduction
59
Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
59
01:29Acute Kidney Injury II: Pathophysiology
56
Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
56
01:22Acute Kidney Injury VI: Nursing Management
48
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
48
01:28Chronic Kidney Disease III: Interprofessional Care
70
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
70