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F30<br />

Ensuring Patient Safety and Quality Measures for RRT in AKI 2:<br />

Dialysis Adequacy, M<strong>on</strong>itoring, Nursing Issues<br />

Ashita Tolwani MD<br />

8:00-9:30<br />

Thursday, February 16<br />

Educati<strong>on</strong>al Objectives:<br />

1. Define the goals of <strong>CRRT</strong>.<br />

2. Describe the key processes involved in meeting these goals, <str<strong>on</strong>g>from</str<strong>on</strong>g> the initial <strong>CRRT</strong> prescripti<strong>on</strong> writing by the<br />

physician to initiati<strong>on</strong> of therapy by the nurse.<br />

2. Discuss ways to implement and m<strong>on</strong>itor quality measures during each of these processes to ensure achievement<br />

of the <strong>CRRT</strong> goals and reducti<strong>on</strong> of errors.<br />

C<strong>on</strong>tent Descripti<strong>on</strong>:<br />

Providing safety and quality measures for <strong>CRRT</strong> requires answering the following questi<strong>on</strong>s:<br />

1. What are the goals of <strong>CRRT</strong> (ie solute clearance, volume c<strong>on</strong>trol, time <strong>on</strong> the machine, safety)?<br />

2. What are the processes involved in delivering therapy <str<strong>on</strong>g>from</str<strong>on</strong>g> the initial written prescripti<strong>on</strong> to the actual administrati<strong>on</strong><br />

of <strong>CRRT</strong> by the nurse?<br />

3. How can these processes be m<strong>on</strong>itored and improved to ensure optimal delivery of <strong>CRRT</strong> and achievement of<br />

the <strong>CRRT</strong> goals?<br />

Maintaining high quality and reducing error in the overall <strong>CRRT</strong> process requires a team approach of the physician,<br />

pharmacist, and nurse. In this porti<strong>on</strong> of the workshop, I describe the approach used by the University of<br />

Alabama at Birmingham(UAB)to answer these questi<strong>on</strong>s.<br />

115

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