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
Yingpeng Qiu, Xinyu Li, Haibo Qiu, Songqiao Liu, Ling Zhang, Xiangyou Yu, Bingyu Qin, Yingying Pu, Jiayu Zhao, Yongjun Liu, Yue Xiao, Yi Yang. Establishment and validation of quality control index system for continuous renal replacement therapy[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2024, 10(04): 351-357.