Abstract
Current acute kidney injury (AKI) literature focuses on diagnosis, treatment, and outcomes. While little literature exists studying the quality of care delivered to patients with AKI. However, improving outcomes for patients is dependent on the specifics of the delivered care (i.e., the who, what, when, and how). Therefore, it is necessary to direct attention to process measures to assess the relationship between care and outcomes. The application of quality improvement science to the care of AKI, uses a series of metrics encompassing both processes and outcomes to better understand, evaluate, and ensure the delivery high quality care.
Highlights
Recent pediatric epidemiology and prevalence studies reported acute kidney injury (AKI) developed in 26.9% of critically ill children, with severe AKI occurring 11.6% [1]
While diagnosis and treatment of AKI is well-described in the literature, very few studies focused on the quality of care delivered in the AKI care continuum
Analyzing the relationship between process measures, outcomes measure, and patient outcomes is the foundation of quality improvement (QI) science
Summary
Recent pediatric epidemiology and prevalence studies reported AKI developed in 26.9% of critically ill children, with severe AKI occurring 11.6% [1]. Process measures reflect adherence to the standardized steps and practices performed by health care staff members that are necessary to ensure quality care is delivered to every patient [5]. More attention is given to process measures, understanding how the degree of variability in the process of delivering care is associated with patient outcome.
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