Table 4.
Quality domain: structure | |
Provider | |
1. Specialized CRRT team | The number of multidisciplinary experts that constitutes the CRRT QI team |
2. Education and training program | The number of education sessions for clinicians, ICU nurses and other healthcare professionals |
Prescription | |
3. CRRT modality | The percentage of the total CRRT treatments that used CVVHDF as the main modality established by protocol |
4. Anticoagulation | The percentage of the total CRRT treatments that used RCA |
5. Total RCA/RCA-CRRT hours | The average total RCA hours divided by total CRRT hours in patients that used RCA |
Quality domain: process | |
Performance | |
6. Delivered effluent dose | The average delivered CRRT effluent flow rate (ml/kg/h) |
7. Delivered vs. prescribed effluent dose | The average delivered CRRT effluent dose divided by prescribed dose |
8. Filter life span | The average time (in hours) of individual filter utilization |
9. Filters per patient | The average total number of filters used divided by the total number of patients on CRRT |
10. CRRT access alarms | The average number of CRRT access alarms per treatment day, reflecting catheter malfunction (high venous pressure in return line or low arterial pressure in access line) |
11. Economic savings | The average gross total filter cost per 100-patient receiving CRRT |
CRRT continuous renal replacement therapy, CVVHDF continuous veno-venous hemodiafiltration, ICU intensive care unit, QI quality improvement, RCA regional citrate anticoagulation.