Mitigating Acute Kidney Injury – Learn from these Rockstars - 2022 Quality Summit presentation (Non-CE)-Session

Video Transcription

Video Summary

The video is a presentation by Kate Malish, a registry product manager, Dr. Anezi Uzendu, an interventional cardiologist, and Ellen Knealy, a nurse and RSM for Northwell Health. They discuss the development of a new acute kidney injury (AKI) risk model for patients undergoing percutaneous coronary intervention (PCI). The goal of the model is to improve patient outcomes and guide quality improvement efforts. The presenters highlight the importance of risk models in informing patients about their individual risk and guiding clinical decision-making. They explain the factors that contribute to the development of AKI after PCI, such as hemodynamic changes, atherothrombotic disease, and contrast usage. The new risk model incorporates various patient variables to accurately predict the risk of AKI and dialysis. The model demonstrates good performance and is used to develop risk-adjusted and risk-standardized metrics for benchmarking and quality improvement. Ellen Keneally shares the experience of Northwell Health in implementing a sin reduction program to improve AKI rates. They focus on factors such as provider engagement, monitoring compliance, tracking data, and reviewing outcomes. The program has shown promising results in reducing AKI rates. The presenters also address questions about same-day discharge and the definition of AKI and discuss the potential impact of the COVID-19 pandemic on data analysis. Overall, the presentation highlights the importance of risk models and quality improvement initiatives in mitigating AKI after PCI.

Keywords

acute kidney injury

risk model

percutaneous coronary intervention

patient outcomes

quality improvement

dialysis

provider engagement

COVID-19 pandemic