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Nursing Forum 2 Lunche<strong>on</strong><br />

Benchmarking for <strong>CRRT</strong>: Which Parameters Should We Use?<br />

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

1. State the importance of establishing benchmarks for acute RRT.<br />

2. Identify three domains of nurse sensitive indicators<br />

3. Identify three indicators to establish benchmarking data.<br />

Eileen Lischer MA, BSN, RN, CNN<br />

Thursday, February 16<br />

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

Establishing benchmarks for acute renal replacement therapy is necessary to establish best practice, advance the<br />

quality of care and improve patient outcomes. Additi<strong>on</strong>al benefits may be to the instituti<strong>on</strong> in providing more<br />

cost effective care. This lunche<strong>on</strong> presentati<strong>on</strong> will review the history of benchmarking, identify current initiatives<br />

in acute care and provide an interactive discussi<strong>on</strong> to identify areas in acute RRT that need prioritizing.<br />

Suggested Reading:<br />

1. Brown DS, D<strong>on</strong>alds<strong>on</strong> N, Aydin CE, & Carls<strong>on</strong> N. (2001). Hospital nursing benchmarks: The California nursing outcomes<br />

coaliti<strong>on</strong> project. Journal for Healthcare Quality, 23(4), 22-29<br />

Describes the origins of CalNOC <str<strong>on</strong>g>from</str<strong>on</strong>g> planning through research and partnerships. A potential source for thinking about<br />

how to build benchmarking. See also: CalNOC.org<br />

2. Kardo<strong>on</strong>i S, et al. (2008). Hazards of benchmarking complicati<strong>on</strong>s with the Nati<strong>on</strong>al Trauma Data Bank: Numerators in<br />

search of denominators. Journal of Trauma,64(2), 277-279.<br />

Things to think about when creating a benchmark: defining categories and the “need for c<strong>on</strong>scientious selecti<strong>on</strong> of numerators<br />

and denominators.”<br />

3. Nati<strong>on</strong>al Database of Nursing Quality Indicators. NDNQI: Transforming data into quality care. Accessed Dec 13, 2011<br />

https://www.nursingquality.org/<br />

ANA proprietary database of nursing-sensitive quality indicators that produces unit-level reports for quality improvement.<br />

4. Patrician PA, Loan L, McCarthy M, Brosch LR, & Davey KS. (2010). Towards evidence-based management: Creating an<br />

informative database of nursing-sensitive indicators. Journal of Nursing Scholarship, 42(4), 358-366<br />

Describes creati<strong>on</strong> of MilNOD – a database of nursing-sensitive indicators for the Military Nursing Outcomes Database –<br />

and the routine collecti<strong>on</strong> and reporting of data.<br />

Maureen Craig MSN, RN, CNN<br />

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

1. Explore patient measures as benchmarks or quality of a <strong>CRRT</strong>/SLEDD program.<br />

2. Identify nurse sensitive quality indicators as benchmarks for a <strong>CRRT</strong> /SLEDD program.<br />

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

Benchmarking is the meaningful comparis<strong>on</strong> of individual program performance metrics to best practices in a<br />

particular industry. Benchmarks within <strong>CRRT</strong>/ SLEDD programs are forming as individual programs expand<br />

c<strong>on</strong>tinous quality improvement programs. We will explore some of the patient measures and nursing quality<br />

indicators associated with <strong>CRRT</strong>/SLEDD programs. We will look at narrowing the focus and look to launch a<br />

nati<strong>on</strong>al database for all intersted <strong>CRRT</strong>/SLEDD programs to participate in establishing benchmarks.<br />

Suggested Reading:<br />

Aydin, C.E., Burnes Bolt<strong>on</strong>, L., D<strong>on</strong>alds<strong>on</strong>, N., Brown, D., Mukerji, A. (2008). Bey<strong>on</strong>d nursing quality measurement: The<br />

nati<strong>on</strong>’s first regi<strong>on</strong>al nursing virtual dashboard. In Henriksen, K., Battles, J.B., Keyes, M.A., Grady, M.L., Eds. Advances<br />

in Patient Safety: New Directi<strong>on</strong>s and Alternative Approaches, Vol. I Assessment. AHRQ Publicati<strong>on</strong> No. 08-0034-1.<br />

Rockville, MD: Agency for Healthcare Research and Quality; August 2008, 217-234.<br />

Craig, M. (2008). Slow extended daily dialysis and c<strong>on</strong>tinuous renal replacement therapy. In C. Counts (Ed.), Core<br />

Curriculum for Nephrology Nursing (5th ed.), (pp.231-278). Pitman, NJ: American Nephrology Nursing Associati<strong>on</strong>.<br />

41

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