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Quality measures in acute kidney injury

Mehboob, Amjada; Zimmerman, Roberta; Abramson, Stuarta; Parker, Mark, G.a,b

Current Opinion in Nephrology and Hypertension: March 2018 - Volume 27 - Issue 2 - p 130–135
doi: 10.1097/MNH.0000000000000388
CLINICAL NEPHROLOGY: Edited by Bertrand L. Jaber
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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.

aDivision of Nephrology and Transplantation

bDepartment of Quality and Safety, Maine Medical Center, Portland, Maine, USA

Correspondence to Amjad Mehboob, MBBS, Division of Nephrology and Transplantation, Maine Medical Center, 22 Bramhall Street, Portland, ME 04102, USA. E-mail: amehboob@mmc.org

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