Division of Nephrology and Transplantation.
Department of Quality and Safety, Maine Medical Center, Portland, Maine, USA.
Curr Opin Nephrol Hypertens. 2018 Mar;27(2):130-135. doi: 10.1097/MNH.0000000000000388.
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.
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.
We review candidate AKI quality measures and assess the strength of evidence supporting the use of each measure as a standard for AKI care.
质量措施的评估和报告在终末期肾病的治疗中正在不断发展，而在门诊肾脏病学诊所的治疗中还处于初期阶段。急性肾损伤（AKI）的质量措施尚未得到足够的重视，但鉴于肾脏病提供者在 AKI 护理方面投入了大量的精力，因此值得考虑。
越来越多的文献允许考虑肾脏病学咨询的时间、AKI 住院后的随访、早期发现、药物剂量、医院再入院和住院时间、成本和死亡率作为潜在的 AKI 质量措施。
我们回顾了候选 AKI 质量措施，并评估了每项措施作为 AKI 护理标准的使用证据的强度。
