Quality measures in acute kidney injury.

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.