Reducing Acute Kidney Injury Due to Contrast Material: How Nurses Can Improve Patient Safety.
Critical Care Medicine, Cardiology, Nursing
Critical care nurse
Acute Kidney Injury, Aged, Contrast Media, Female, Humans, Male, Middle Aged, New England, Nurse's Role, Patient Education as Topic, Patient Safety, Percutaneous Coronary Intervention, Qualitative Research, Quality Improvement, Risk Assessment
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
CONCLUSIONS: Standardization of evidence-based best practices in nursing care may reduce the incidence of acute kidney injury due to contrast material.
Lambert, Peggy; Chaisson, Kristine; Horton, Susan; Petrin, Carmen; Marshall, Emily; Bowden, Sue; Scott, Lynn; Conley, Sheila; Stender, Janette; Kent, Gertrude; Hopkins, Ellen; Smith, Brian; Nicholson, Anita; Roy, Nancy; Homsted, Brenda; Downs, Cindy; Ross, Cathy S; Brown, Jeremiah; and Northern New England Cardiovascular Disease Study Group, "Reducing Acute Kidney Injury Due to Contrast Material: How Nurses Can Improve Patient Safety." (2017). Maine Medical Center. 1653.