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Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition) ›› 2024, Vol. 10 ›› Issue (04): 351-357. doi: 10.3877/cma.j.issn.2096-1537.2024.04.007

• Critical Care Research • Previous Articles     Next Articles

Establishment and validation of quality control index system for continuous renal replacement therapy

Yingpeng Qiu1, Xinyu Li2, Haibo Qiu3, Songqiao Liu3, Ling Zhang4, Xiangyou Yu5, Bingyu Qin6, Yingying Pu7, Jiayu Zhao2, Yongjun Liu2, Yue Xiao1,(), Yi Yang3,()   

  1. 1.China National Health Development Research Center, National Health Commission, National Center for Medicine and Health Technology Assessment, Beijing 100000,China
    2.School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing 210000,China
    3.Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University,Nanjing 210009, China
    4.Department of Nephrology, West China Hospital of Sichuan University, Chengdu 610000, China
    5.Critical Medicine Center, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China
    6.Department of Intensive Care Medicine, Henan Provincial People’s Hospital, Zhengzhou 450000, China
    7.Chaoyang District Health Supervision Institute, Beijing 100000, China
  • Received:2024-03-15 Online:2024-11-28 Published:2025-01-20
  • Contact: Yue Xiao, Yi Yang

Abstract:

Objective

To establish a quality control index system for continuous renal replacement therapy (CRRT), and explore key factors that affect outcome indicators by collecting real-world data.

Methods

A three-dimensional quality evaluation model as the theoretical framework was used, a quality control index system was constructed using literature analysis and expert consultation methods; information on patients receiving CRRT treatment from 6 hospitals in 4 provinces and 6 medical institutions were collected,and a retrospective cohort study was used to explore factors affecting outcome indicators.

Results

A total of 2 rounds of expert consultation were conducted, ultimately forming a CRRT quality control indicator system consisting of 2 first level indicators, 6 second level indicators, and 26 third level indicators; the results of multiple factor regression analysis showed that the indications for machine use and the type of disease diagnosis were key factors affecting the outcome indicators.

Conclusion

The CRRT quality control indicator system constructed in this study has a certain degree of scientificity and rationality, providing reference for clinical quality control of CRRT.In practice, key links that affect outcome indicators should be emphasized,and the CRRT clinical quality control indicator system should be continuously improved.

Key words: Continuous renal replacement therapy, Quality control, Indicator system

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