Implementation of an evidence-based and best practices acute RRT pathway aiming to decrease acute RRT program and healthcare systems costs while improving important patient-reported outcomes.
Providing acute dialysis to critically ill patients in ICU settings is resource and cost intensive. The daily costs of acute dialysis can range from $528/day for intermittent hemodialysis to $865/day for continuous renal replacement therapy. Providing acute dialysis in ICU settings requires a specialized team of nurses, educators, physicians and stakeholders to ensure its safe and effective prescription and delivery. Acute dialysis is typically delivered to some of the most acutely ill patients admitted to the ICU to support organ function and sustain life. At present, there is not a standardized approach to the prescription and delivery of acute dialysis therapy in ICUs across Alberta. The DIALYZING WISELY program will implement a standardized approach to the delivery of best practices for acute dialysis therapy to all patients who receive treatment across ICUs in Alberta.
Study Type
OBSERVATIONAL
Enrollment
9,348
Quarterly
Individualized prescriber reports for acute RRT initiation patterns along with targeted education to ensure that align with best evidence-based practices
Peter Lougheed Centre
Calgary, Alberta, Canada
Foothills Medical Centre
Calgary, Alberta, Canada
Rockyview General Hospital
Calgary, Alberta, Canada
Key performance indicators (KPI)
Changes in acute KPIs
Time frame: Throughout intervention period up to 3 years
Health system costs
Acute RRT and healthcare systems costs
Time frame: 3 years
Length of renal replacement therapy
Length of time patient receives RRT during their ICU stay
Time frame: 3 years
ICU and hospital lengths of stay
Number of days patient spends in the ICU and hospital
Time frame: 3 years
ICU and 90 day mortality
number of patients who die before ICU discharge or within 90 days of ICU stay
Time frame: 3 years
Rates of RRT dependence at 90 days
number of patients who are receiving RRT at 90 days after ICU stay
Time frame: 3 years
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