Acute Kidney Injury: Continuous Quality Improvement for Systems Change

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Show simple item record Bassett, Robin 2017-08-03T22:51:55Z 2017-08-03T22:51:55Z 2016-12-01
dc.description A Project Submitted in Partial Fulfillment of the Requirements for the Degree of DOCTOR OF NURSING PRACTICE in Nursing en_US
dc.description.abstract Acute Kidney Injury (AKI) is reduced kidney function over hours to days which can be reversible but can lead to renal failure and death. AKI is diagnosed using serum creatinine and urine output but these factors are not sensitive or specific, and no biomarker has been found for more accurate diagnosis. International guidelines for AKI diagnosis and treatment were released in 2012 by the Kidney Disease: Improving Global Outcomes (KDIGO) group. Many providers are not aware of AKI and guidelines for treatment have not been implemented in practice. The purpose of this continuous quality improvement (CQI) project was to improve healthcare team member knowledge of AKI Guidelines and to develop electronic health records (EHR) tools to improve AKI recognition and diagnosis. EHR tools were developed for implementation during a two-month CQI practice initiative. An Excel spreadsheet for AKI diagnosis and EHR renal protection protocols were created and tested. Updates were made to the tools to allow ease of use based on interprofessional feedback. A trifold AKI educational pamphlet was developed following implementation to fill gaps in knowledge. The interprofessional critical care team survey reported the tools were helpful in facilitating AKI recognition and management according to published guidelines. More work is needed to find sustainable and significant improvements in AKI recognition, diagnosis, and treatment. AKI guidelines should be disseminated to non- nephrology professionals after revision to allow for increased diagnosis and management of this critical and common problem. en_US
dc.description.tableofcontents Title Page / Abstract / Table of Contents / List of Figures / List of Tables / List of Appendices / Overview of the Problem of Interest / Review of the Literature / Organizational Framework / Project Design / Implementation Process and Procedure / Project Outcomes / Implications for Nursing Practice / Summary and Conclusions / References / Appendices en_US
dc.language.iso en_US en_US
dc.publisher University of Alaska Anchorage en_US
dc.subject Acute Kidney Injury en_US
dc.subject continuous quality improvement en_US
dc.title Acute Kidney Injury: Continuous Quality Improvement for Systems Change en_US
dc.type Report en_US

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