Table 2 Intervention definitions and parameters - Key Performance Indicators (KPIs)
CRRT KPI | Operational Definition | Proposed Benchmark |
Filter Life | Average number of hours of filter life of all filters per quarter | > 50% of filters last 72 hours |
Downtime | Time CRRT not running per day/ Each day of CRRT prescription | < 15% |
Delivered Dose | Actual delivered dose in ml/Kg/h / Prescribed dose in ml/Kg/h | > 85% of dose and between 25 and 30 ml/Kg/h |
Ultrafiltration Realized | Ultrafiltration realized per 24 hours/ Ultrafiltration prescribed per 24 hours | > 85% |
Access Alarms | Number of alarms recorded per machine per day of therapy | < 5 alarms/d |
IRRT KPI | Operational Definition | Proposed Benchmark |
Treatment Completion | Number of IRRT treatment completed/ Total number of IRRT treatments | 100% |
Treatment Time | [Delivered – Prescribed hours of dialysis therapy]/ Prescribed hours of dialysis therapy | > 85% of time |
Solute Clearance | Percentage difference between serum urea pre-treatment and serum urea post treatment | > 10% decrease/treatment |
Ultrafiltration Realized | Ultrafiltration realized for treatment/ Ultrafiltration prescribed per treatment | > 85% |
Catheter Malfunction | Number of IRRT runs with catheters reversed/ Number of IRRT runs | < 20% |
Prescriber Report Metrics | ||
RRT Initiation Criteria | Benchmarksa | |
Serum potassium | > 6.0 mmol/L | |
pH | < 7.20 | |
Serum bicarbonate | < 12 mmol/L | |
Oxygenation status | Impaired oxygenation as per P/F ratio of < 200 | |
Cumulative volume status | Cumulative Fluid Balance defined as > 10% positive fluid balanceb anchored from time of ICU admission | |