Acute Renal Injury
Conditions
Keywords
evidence based care pathway,, critical care medicine, quality improvement, acute renal replacement therapy
Brief summary
Implementation of an evidence-based and best practices acute RRT pathway aiming to decrease acute RRT program and healthcare systems costs while improving important patient-reported outcomes.
Detailed description
Providing acute dialysis to critically ill patients in ICU settings is resource and cost intensive. The daily costs of acute dialysis can range from $528/day for intermittent hemodialysis to $865/day for continuous renal replacement therapy. Providing acute dialysis in ICU settings requires a specialized team of nurses, educators, physicians and stakeholders to ensure its safe and effective prescription and delivery. Acute dialysis is typically delivered to some of the most acutely ill patients admitted to the ICU to support organ function and sustain life. At present, there is not a standardized approach to the prescription and delivery of acute dialysis therapy in ICUs across Alberta. The DIALYZING WISELY program will implement a standardized approach to the delivery of best practices for acute dialysis therapy to all patients who receive treatment across ICUs in Alberta.
Interventions
OTHERKPI reports
Quarterly
OTHERPrescriber reports
Individualized prescriber reports for acute RRT initiation patterns along with targeted education to ensure that align with best evidence-based practices
Sponsors
University of Alberta
Alberta Innovates Health Solutions
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
Patient in one of 15 adult and 3 pediatric intensive care units in Alberta Receive acute RRT as part of their usual clinical care during the intervention period
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Key performance indicators (KPI) | Throughout intervention period up to 3 years | Changes in acute KPIs |
| Health system costs | 3 years | Acute RRT and healthcare systems costs |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of renal replacement therapy | 3 years | Length of time patient receives RRT during their ICU stay |
| ICU and hospital lengths of stay | 3 years | Number of days patient spends in the ICU and hospital |
| ICU and 90 day mortality | 3 years | number of patients who die before ICU discharge or within 90 days of ICU stay |
| Rates of RRT dependence at 90 days | 3 years | number of patients who are receiving RRT at 90 days after ICU stay |
Countries
Canada
Contacts
PRINCIPAL_INVESTIGATOROleksa Rewa, MD
University of Alberta
Outcome results
None listed