Journal article
Reducing Acute Kidney Injury Due to Contrast Material: How Nurses Can Improve Patient Safety
Critical care nurse, Vol.37(1), pp.13-26
02/01/2017
DOI: 10.4037/ccn2017178
PMCID: PMC5557383
PMID: 28148611
Abstract
BACKGROUND Acute kidney injury due to contrast material occurs in 3% to 15% of the 2 million cardiac catheterizations done in the United States each year.
OBJECTIVE To reduce acute kidney injury due to contrast material after cardiovascular interventional procedures.
METHODS Nurse leaders in the Northern New England Cardiovascular Disease Study Group, a 10-center quality improvement consortium in Maine, New Hampshire, and Vermont, formed a nursing task force to reduce acute kidney injury due to contrast material after cardiovascular interventional procedures. Data were prospectively collected January 1, 2007, through June 30, 2012, on consecutive nonemergent patients (n = 20 147) undergoing percutaneous coronary interventions.
RESULTS Compared with baseline rates, adjusted rates of acute kidney injury among the 10 centers were significantly reduced by 21% and by 28% in patients with baseline estimated glomerular filtration rate less than 60 mL/min per 1.73 m(2). Key qualitative system factors associated with improvement included use of multidisciplinary teams, standardized fluid orders, use of an intravenous fluid bolus, patient education about oral hydration, and limiting the volume of contrast material.
CONCLUSIONS Standardization of evidence-based best practices in nursing care may reduce the incidence of acute kidney injury due to contrast material.
Details
- Title: Subtitle
- Reducing Acute Kidney Injury Due to Contrast Material: How Nurses Can Improve Patient Safety
- Creators
- Peggy Lambert - Catholic Medical CenterKristine Chaisson - Central Maine Medical CenterSusan Horton - Central Maine Medical CenterCarmen Petrin - Catholic Medical CenterEmily Marshall - Dartmouth–Hitchcock Medical CenterSue Bowden - Catholic Medical CenterLynn Scott - Catholic Medical CenterSheila Conley - Dartmouth–Hitchcock Medical CenterJanette Stender - Dartmouth–Hitchcock Medical CenterGertrude Kent - Maine Medical CenterEllen Hopkins - Maine Medical CenterBrian Smith - Wentworth Douglass HospitalAnita Nicholson - Wentworth Douglass HospitalNancy Roy - Central Maine Medical CenterBrenda Homsted - Eastern Maine Medical CenterCindy Downs - Eastern Maine Medical CenterCathy S. Ross - Dartmouth–Hitchcock Medical CenterJeremiah Brown - Dartmouth–Hitchcock Medical CenterNorthern New England Cardiovascular Disease Study Group
- Resource Type
- Journal article
- Publication Details
- Critical care nurse, Vol.37(1), pp.13-26
- DOI
- 10.4037/ccn2017178
- PMID
- 28148611
- PMCID
- PMC5557383
- NLM abbreviation
- Crit Care Nurse
- ISSN
- 0279-5442
- eISSN
- 1940-8250
- Publisher
- Amer Assoc Critical Care Nurses
- Number of pages
- 14
- Grant note
- HS018443 / Agency for Healthcare Research and Quality; United States Department of Health & Human Services; Agency for Healthcare Research & Quality K01HS018443 / AGENCY FOR HEALTHCARE RESEARCH AND QUALITY; United States Department of Health & Human Services; Agency for Healthcare Research & Quality Northern New England Cardiovascular Disease Study Group participating medical centers
- Language
- English
- Date published
- 02/01/2017
- Academic Unit
- Preventive and Community Dentistry; Nursing
- Record Identifier
- 9984370744502771
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