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Quality Improvement Initiatives in Renal Biopsy for Patient-Centered Communication by Shared Decision Making
Background: Renal biopsy is the gold standard for diagnosing renal disease. The major concern is bleeding. Shared decision making (SDM) has been reported to improve communication but has never been used regarding renal biopsy. Methods: We launched a 5-year project on SDM for renal biopsy. We collect...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9140834/ https://www.ncbi.nlm.nih.gov/pubmed/35626381 http://dx.doi.org/10.3390/diagnostics12051227 |
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author | Chen, Cheng-Hsu Hsu, Chia-Tien Wu, Ming-Ju Tsai, Shang-Feng |
author_facet | Chen, Cheng-Hsu Hsu, Chia-Tien Wu, Ming-Ju Tsai, Shang-Feng |
author_sort | Chen, Cheng-Hsu |
collection | PubMed |
description | Background: Renal biopsy is the gold standard for diagnosing renal disease. The major concern is bleeding. Shared decision making (SDM) has been reported to improve communication but has never been used regarding renal biopsy. Methods: We launched a 5-year project on SDM for renal biopsy. We collected cases of renal biopsy and bleeding, and cases of SDM. The process of quality improvement (QI) for SDM is also shared. Results: Taichung Veterans General Hospital has the largest number of renal biopsy cases, and the lowest bleeding rate in Taiwan. We enlisted a core team for this QI project and conducted stakeholder mapping. In 2017, we conducted a small pilot study for SDM based on printed material as a decision aid. The satisfaction rate was 95.5%. From 2018 to 2019, we improved SDM patients’ decision aid from printed material to four videos, designing questions to consolidate their understanding, and a unique information platform. The above improvements facilitated the utilization of SDM for renal biopsy (81.27% in 2020 and 100% in 2021). Even with higher bleeding complications in 2019 and 2020, patients remained satisfied when we launched SDM prior to renal biopsy. Conclusion: This is the first study regarding SDM on renal biopsy. Through SDM, patients had time to understand renal biopsy, including risk and benefit. We recommend SDM to elaborate renal biopsy in clinical practice. |
format | Online Article Text |
id | pubmed-9140834 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-91408342022-05-28 Quality Improvement Initiatives in Renal Biopsy for Patient-Centered Communication by Shared Decision Making Chen, Cheng-Hsu Hsu, Chia-Tien Wu, Ming-Ju Tsai, Shang-Feng Diagnostics (Basel) Article Background: Renal biopsy is the gold standard for diagnosing renal disease. The major concern is bleeding. Shared decision making (SDM) has been reported to improve communication but has never been used regarding renal biopsy. Methods: We launched a 5-year project on SDM for renal biopsy. We collected cases of renal biopsy and bleeding, and cases of SDM. The process of quality improvement (QI) for SDM is also shared. Results: Taichung Veterans General Hospital has the largest number of renal biopsy cases, and the lowest bleeding rate in Taiwan. We enlisted a core team for this QI project and conducted stakeholder mapping. In 2017, we conducted a small pilot study for SDM based on printed material as a decision aid. The satisfaction rate was 95.5%. From 2018 to 2019, we improved SDM patients’ decision aid from printed material to four videos, designing questions to consolidate their understanding, and a unique information platform. The above improvements facilitated the utilization of SDM for renal biopsy (81.27% in 2020 and 100% in 2021). Even with higher bleeding complications in 2019 and 2020, patients remained satisfied when we launched SDM prior to renal biopsy. Conclusion: This is the first study regarding SDM on renal biopsy. Through SDM, patients had time to understand renal biopsy, including risk and benefit. We recommend SDM to elaborate renal biopsy in clinical practice. MDPI 2022-05-13 /pmc/articles/PMC9140834/ /pubmed/35626381 http://dx.doi.org/10.3390/diagnostics12051227 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Chen, Cheng-Hsu Hsu, Chia-Tien Wu, Ming-Ju Tsai, Shang-Feng Quality Improvement Initiatives in Renal Biopsy for Patient-Centered Communication by Shared Decision Making |
title | Quality Improvement Initiatives in Renal Biopsy for Patient-Centered Communication by Shared Decision Making |
title_full | Quality Improvement Initiatives in Renal Biopsy for Patient-Centered Communication by Shared Decision Making |
title_fullStr | Quality Improvement Initiatives in Renal Biopsy for Patient-Centered Communication by Shared Decision Making |
title_full_unstemmed | Quality Improvement Initiatives in Renal Biopsy for Patient-Centered Communication by Shared Decision Making |
title_short | Quality Improvement Initiatives in Renal Biopsy for Patient-Centered Communication by Shared Decision Making |
title_sort | quality improvement initiatives in renal biopsy for patient-centered communication by shared decision making |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9140834/ https://www.ncbi.nlm.nih.gov/pubmed/35626381 http://dx.doi.org/10.3390/diagnostics12051227 |
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