An Organizational-Level Program of Intervention for AKI: A Pragmatic Stepped Wedge Cluster Randomized Trial.

Nicholas M SelbyAnna CasulaLaura LammingJohn StovesYohan SamarasingheAndrew J LewingtonRussell RobertsNikunj ShahMelanie JohnsonNatalie JacksonCarol JonesErik LenguerrandEileen McDonachRichard J FluckMohammed A MohammedFergus J Caskey

Published in: Journal of the American Society of Nephrology : JASN (2019)

A complex, hospital-wide intervention to reduce harm associated with AKI did not reduce 30-day AKI mortality but did result in reductions in hospital length of stay, accompanied by improvements in in quality of care. An increase in AKI incidence likely reflected improved recognition.

Keyphrases

acute kidney injury
quality improvement
healthcare
randomized controlled trial
study protocol
risk factors
palliative care
acute care
adverse drug
cardiovascular events
emergency department
type diabetes
pain management
coronary artery disease
chronic pain