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Quality Improvement for Continuous Renal Replacement Therapies 

Quality Improvement for Continuous Renal Replacement Therapies
Chapter:
Quality Improvement for Continuous Renal Replacement Therapies
Author(s):

Ian Baldwin

and Rinaldo Bellomo

DOI:
10.1093/med/9780190225537.003.0031
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date: 23 January 2021

There are different clinical parameters that can reflect the successful use of CRRT and the achievement of relevant therapeutic goals. The major goals of CRRT include desired toxic solute clearance, acid – base homeostasis, electrolyte balance, appropriate fluid removal and balance and temperature control. These goals should ideally be achieved in a timely and cost effective manner. Establishing and maintaining a unit CRRT data base is useful to gauge success, compare unit performance to that of others and enable review or change over time to detect potentially useful trends in performance. This quality improvement process is useful in respect of the changing clinical context, personnel changes and training requirements, new devices and CRRT machines, access devices and technical variations in prescription for anticoagulation and fluid balance.

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