Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Chen, Cheng-Hsu, Hsu, Chia-Tien, Wu, Ming-Ju, Tsai, Shang-Feng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
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
_version_ 1784715194879967232
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
work_keys_str_mv AT chenchenghsu qualityimprovementinitiativesinrenalbiopsyforpatientcenteredcommunicationbyshareddecisionmaking
AT hsuchiatien qualityimprovementinitiativesinrenalbiopsyforpatientcenteredcommunicationbyshareddecisionmaking
AT wumingju qualityimprovementinitiativesinrenalbiopsyforpatientcenteredcommunicationbyshareddecisionmaking
AT tsaishangfeng qualityimprovementinitiativesinrenalbiopsyforpatientcenteredcommunicationbyshareddecisionmaking