Continuous Renal Replacement Therapy Dosing in Critically Ill Patients: A Quality Improvement Initiative.

ABSTRACT:

Rationale & objective

Clinical practice guidelines recommend delivering a continuous renal replacement therapy (CRRT) dose of 20 to 25mL/kg/h. However, practice patterns nationwide are highly variable; this inconsistent prescribing may lead to errors in medication dosing and increase rates of electrolyte and acid-base abnormalities. We describe an initiative to standardize CRRT practice patterns and reduce dosing variability.

Study design

Quality improvement study.

Setting & participants

Adult patients treated with CRRT at the University of Colorado Hospital between January 2016 and October 2017.

Quality improvement activities

An assessment of the magnitude of the variability in CRRT dosing and the following specific interventions were implemented during the co

SUBMITTER: Griffin BR 

PROVIDER: S-EPMC6939344 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature