A Quality Improvement Initiative to Reduce the Frequency of Delays in Initiation and Restarts of Continuous Renal Replacement Therapy.

ABSTRACT:

Background

Continuous renal replacement therapy (CRRT) is a lifesaving intervention for critically ill patients. Delays in initiation, or an inability to resume CRRT following a temporary suspension in therapy (CRRT restart), can result in suboptimal CRRT delivery.

Local problem

Intensive care units across the health care system were experiencing significant delays in CRRT initiation and restarts.

Approach

A multimodal quality improvement initiative was implemented across 7 adult intensive care units, which allowed unit-based staff nurses to initiate and restart CRRT, a task that had previously been delegated to non-unit-based dialysis nurses.

Outcomes

A 75% reduction in CRRT initiation delays and a 90% reduction in CRRT restart delays were observed in the 12 m

SUBMITTER: Cordoza M 

PROVIDER: S-EPMC8439559 | biostudies-literature | 2021 Oct-Dec 01

REPOSITORIES: biostudies-literature