Quality measures in acute kidney injury

Curr Opin Nephrol Hypertens. 2018 Mar;27(2):130-135. doi: 10.1097/MNH.0000000000000388.

Abstract

Purpose of review: Quality measure assessment and reporting is evolving in end-stage renal disease care and is inchoate in ambulatory nephrology clinic care. Acute kidney injury (AKI) quality measures have not received sufficient attention, yet deserve consideration in view of the substantial proportion of effort nephrology providers devote to AKI care.

Recent findings: Accumulating literature permits consideration of timing of nephrology consultation, follow-up after AKI hospitalization, early detection, medication dosing, hospital readmissions and length of stay, cost, and mortality as potential AKI quality measures.

Summary: We review candidate AKI quality measures and assess the strength of evidence supporting the use of each measure as a standard for AKI care.

Publication types

  • Review

MeSH terms

  • Acute Kidney Injury / diagnosis*
  • Acute Kidney Injury / therapy*
  • Aftercare
  • Early Diagnosis
  • Hospitalization* / economics
  • Humans
  • Nephrology
  • Quality Indicators, Health Care*
  • Referral and Consultation*