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Quality indicators in continuous renal replacement therapy (CRRT) care in critically ill patients: protocol for a systematic review
BACKGROUND: Renal replacement therapy is increasingly utilized in the intensive care unit (ICU), of which continuous renal replacement therapy (CRRT) is most common. Despite CRRT being a relatively resource-intensive and expensive technology, there remains wide practice variation in its application....
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520065/ https://www.ncbi.nlm.nih.gov/pubmed/26224139 http://dx.doi.org/10.1186/s13643-015-0088-1 |
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author | Rewa, Oleksa Villeneuve, Pierre-Marc Eurich, Dean T. Stelfox, Henry T Gibney, RT Noel Hartling, Lisa Featherstone, Robin Bagshaw, Sean M |
author_facet | Rewa, Oleksa Villeneuve, Pierre-Marc Eurich, Dean T. Stelfox, Henry T Gibney, RT Noel Hartling, Lisa Featherstone, Robin Bagshaw, Sean M |
author_sort | Rewa, Oleksa |
collection | PubMed |
description | BACKGROUND: Renal replacement therapy is increasingly utilized in the intensive care unit (ICU), of which continuous renal replacement therapy (CRRT) is most common. Despite CRRT being a relatively resource-intensive and expensive technology, there remains wide practice variation in its application. This systematic review will appraise the evidence for quality indicators (QIs) of CRRT care in critically ill patients. METHODS: Ovid MEDLINE, Ovid EMBASE, CINAHL, and the Cochrane Library including the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials (CENTRAL), and databases from the National Information Center of Health Services Research and Health Care Technology will be searched for original studies involving QIs in CRRT. Gray literature sources will be searched for technical reports, practice guidelines, and conference proceedings. Websites of relevant organizations will be identified, and industry leaders in the development and marketing of CRRT technology and non-profit organizations that represent key opinion leads in the use of CRRT will be contacted. We will search the Agency of Healthcare Research and Quality National Quality Measures Clearinghouse for CRRT-related QIs. Studies will be included if they contain quality measures, occur in critically ill patients, and are associated with CRRT. Analysis will be primarily descriptive. Each QI will be evaluated for importance, scientific acceptability, usability, and feasibility using the four criteria proposed by the United States Strategic Framework Board for a National Quality Measurement and Reporting System. Finally, QIs will be appraised for their potential operational characteristics, for their potential to be integrated into electronic medical records, and on their affordability, if applicable. DISCUSSION: This systematic review will comprehensively identify and synthesize QIs in CRRT. The results of this study will fuel the development of an inventory of essential QIs to support the appropriate, safe, and efficient delivery of CRRT in critically ill patients. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42015015530. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13643-015-0088-1) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-4520065 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-45200652015-07-31 Quality indicators in continuous renal replacement therapy (CRRT) care in critically ill patients: protocol for a systematic review Rewa, Oleksa Villeneuve, Pierre-Marc Eurich, Dean T. Stelfox, Henry T Gibney, RT Noel Hartling, Lisa Featherstone, Robin Bagshaw, Sean M Syst Rev Protocol BACKGROUND: Renal replacement therapy is increasingly utilized in the intensive care unit (ICU), of which continuous renal replacement therapy (CRRT) is most common. Despite CRRT being a relatively resource-intensive and expensive technology, there remains wide practice variation in its application. This systematic review will appraise the evidence for quality indicators (QIs) of CRRT care in critically ill patients. METHODS: Ovid MEDLINE, Ovid EMBASE, CINAHL, and the Cochrane Library including the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials (CENTRAL), and databases from the National Information Center of Health Services Research and Health Care Technology will be searched for original studies involving QIs in CRRT. Gray literature sources will be searched for technical reports, practice guidelines, and conference proceedings. Websites of relevant organizations will be identified, and industry leaders in the development and marketing of CRRT technology and non-profit organizations that represent key opinion leads in the use of CRRT will be contacted. We will search the Agency of Healthcare Research and Quality National Quality Measures Clearinghouse for CRRT-related QIs. Studies will be included if they contain quality measures, occur in critically ill patients, and are associated with CRRT. Analysis will be primarily descriptive. Each QI will be evaluated for importance, scientific acceptability, usability, and feasibility using the four criteria proposed by the United States Strategic Framework Board for a National Quality Measurement and Reporting System. Finally, QIs will be appraised for their potential operational characteristics, for their potential to be integrated into electronic medical records, and on their affordability, if applicable. DISCUSSION: This systematic review will comprehensively identify and synthesize QIs in CRRT. The results of this study will fuel the development of an inventory of essential QIs to support the appropriate, safe, and efficient delivery of CRRT in critically ill patients. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42015015530. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13643-015-0088-1) contains supplementary material, which is available to authorized users. BioMed Central 2015-07-30 /pmc/articles/PMC4520065/ /pubmed/26224139 http://dx.doi.org/10.1186/s13643-015-0088-1 Text en © Rewa et al. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Protocol Rewa, Oleksa Villeneuve, Pierre-Marc Eurich, Dean T. Stelfox, Henry T Gibney, RT Noel Hartling, Lisa Featherstone, Robin Bagshaw, Sean M Quality indicators in continuous renal replacement therapy (CRRT) care in critically ill patients: protocol for a systematic review |
title | Quality indicators in continuous renal replacement therapy (CRRT) care in critically ill patients: protocol for a systematic review |
title_full | Quality indicators in continuous renal replacement therapy (CRRT) care in critically ill patients: protocol for a systematic review |
title_fullStr | Quality indicators in continuous renal replacement therapy (CRRT) care in critically ill patients: protocol for a systematic review |
title_full_unstemmed | Quality indicators in continuous renal replacement therapy (CRRT) care in critically ill patients: protocol for a systematic review |
title_short | Quality indicators in continuous renal replacement therapy (CRRT) care in critically ill patients: protocol for a systematic review |
title_sort | quality indicators in continuous renal replacement therapy (crrt) care in critically ill patients: protocol for a systematic review |
topic | Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4520065/ https://www.ncbi.nlm.nih.gov/pubmed/26224139 http://dx.doi.org/10.1186/s13643-015-0088-1 |
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