JACC. Case reports · 2025
Success in Reducing Acute Kidney Injury Post-Percutaneous Coronary Intervention.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Anthuvan Jacob, Blake Patricia, Blais Danielle, Lima Jorge, Logan Don, Boudoulas Konstantinos Dean
Аннотация
BACKGROUND: Acute kidney injury (AKI) after percutaneous coronary intervention (PCI) contributes to short- and long-term adverse events. In 2018, our rate for AKI was in the lower quartile for several quarters compared to other hospitals in the American College of Cardiology National Cardiovascular Data Registry Cath/PCI Registry.
PROJECT RATIONALE: Our quality initiative (QI) project was to understand factors contributing to AKI and opportunities to improve this outcome.
PROJECT SUMMARY: A significant delay to the initiation and volume of hydration administered in patients with AKI as compared to without AKI post-PCI was discovered. Lack of understanding hydration order set, fear of volume overload, hydration communication handoff deficiencies, and order-release process variation were contributing factors. Appropriate and sustainable interventions were made improving AKI post-PCI.
TAKE-HOME MESSAGES: A successful QI project requires a multidisciplinary team identifying barriers and deriving solutions. Our QI project resulted in AKI post-PCI improving to the 90th percentile for 9 consecutive quarters.
PROJECT RATIONALE: Our quality initiative (QI) project was to understand factors contributing to AKI and opportunities to improve this outcome.
PROJECT SUMMARY: A significant delay to the initiation and volume of hydration administered in patients with AKI as compared to without AKI post-PCI was discovered. Lack of understanding hydration order set, fear of volume overload, hydration communication handoff deficiencies, and order-release process variation were contributing factors. Appropriate and sustainable interventions were made improving AKI post-PCI.
TAKE-HOME MESSAGES: A successful QI project requires a multidisciplinary team identifying barriers and deriving solutions. Our QI project resulted in AKI post-PCI improving to the 90th percentile for 9 consecutive quarters.