- Dedication
- Preface
- Contributors
- Chapter 1 The Critically Ill Patient with Acute Kidney Injury
- Chapter 2 History and Rationale for Continuous Renal Replacement Therapy
- Chapter 3 Nomenclature for Renal Replacement Therapy in Acute Kidney Injury
- Chapter 4 Basic Principles of Solute Transport
- Chapter 5 Principles of Fluid Management in the Intensive Care Unit
- Chapter 6 Indications, Timing, and Patient Selection
- Chapter 7 Biomarkers for Initiation of Renal Replacement Therapy
- Chapter 8 Extended Indications
- Chapter 9 Dose Adequacy and Assessment
- Chapter 10 Acid–Base and Electrolyte Disorders
- Chapter 11 Choosing a Renal Replacement Therapy in Acute Kidney Injury
- Chapter 12 Vascular Access for Continuous Renal Replacement Therapy
- Chapter 13 The Circuit and the Prescription
- Chapter 14 The Membrane
- Chapter 15 Fluids for Continuous Renal Replacement Therapy
- Chapter 16 Alarms and Troubleshooting
- Chapter 17 Nonanticoagulation Strategies to Optimize Circuit Function in RRT
- Chapter 18 Anticoagulation
- Chapter 19 Regional Citrate Anticoagulation
- Chapter 20 Drug Dosing in Continuous Renal Replacement Therapy
- Chapter 21 Renal Replacement Therapy in Children
- Chapter 22 Therapeutic Plasma Exchange in Critical Care Medicine
- Chapter 23 MARS
- Chapter 24 Sorbents
- Chapter 25 Hybrid Therapies
- Chapter 26 The ICU Environment
- Chapter 27 Patient Care Quality and Teamwork
- Chapter 28 Organizational Aspects
- Chapter 29 Documentation, Billing, and Reimbursement for Continuous Renal Replacement Therapy
- Chapter 30 Machines for Continuous Renal Replacement Therapy
- Chapter 31 Quality Improvement for Continuous Renal Replacement Therapies
- Chapter 32 Educational Resources
- Glossary
- Index
(p. 275) Quality Improvement for Continuous Renal Replacement Therapies
- Chapter:
- (p. 275) Quality Improvement for Continuous Renal Replacement Therapies
- Author(s):
Ian Baldwin
and Rinaldo Bellomo
- DOI:
- 10.1093/med/9780190225537.003.0031
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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- Dedication
- Preface
- Contributors
- Chapter 1 The Critically Ill Patient with Acute Kidney Injury
- Chapter 2 History and Rationale for Continuous Renal Replacement Therapy
- Chapter 3 Nomenclature for Renal Replacement Therapy in Acute Kidney Injury
- Chapter 4 Basic Principles of Solute Transport
- Chapter 5 Principles of Fluid Management in the Intensive Care Unit
- Chapter 6 Indications, Timing, and Patient Selection
- Chapter 7 Biomarkers for Initiation of Renal Replacement Therapy
- Chapter 8 Extended Indications
- Chapter 9 Dose Adequacy and Assessment
- Chapter 10 Acid–Base and Electrolyte Disorders
- Chapter 11 Choosing a Renal Replacement Therapy in Acute Kidney Injury
- Chapter 12 Vascular Access for Continuous Renal Replacement Therapy
- Chapter 13 The Circuit and the Prescription
- Chapter 14 The Membrane
- Chapter 15 Fluids for Continuous Renal Replacement Therapy
- Chapter 16 Alarms and Troubleshooting
- Chapter 17 Nonanticoagulation Strategies to Optimize Circuit Function in RRT
- Chapter 18 Anticoagulation
- Chapter 19 Regional Citrate Anticoagulation
- Chapter 20 Drug Dosing in Continuous Renal Replacement Therapy
- Chapter 21 Renal Replacement Therapy in Children
- Chapter 22 Therapeutic Plasma Exchange in Critical Care Medicine
- Chapter 23 MARS
- Chapter 24 Sorbents
- Chapter 25 Hybrid Therapies
- Chapter 26 The ICU Environment
- Chapter 27 Patient Care Quality and Teamwork
- Chapter 28 Organizational Aspects
- Chapter 29 Documentation, Billing, and Reimbursement for Continuous Renal Replacement Therapy
- Chapter 30 Machines for Continuous Renal Replacement Therapy
- Chapter 31 Quality Improvement for Continuous Renal Replacement Therapies
- Chapter 32 Educational Resources
- Glossary
- Index