Critical care units should have a lead consultant and nurse for renal replacement therapy.
Critical care units should have a policy to standardise the delivery of renal replacement therapy.
Percentage of critical care staff that are trained in the management of emergencies associated with renal replacement therapy (target greater than 50%).
Care processes
Mean filter lifespan (target greater than 30 hours); most brands are licensed for up to 72 hours use.
Mean downtime (target less than 25%); this is the percentage of time without effective blood circulation through a filter during a period of therapy.
Mean effluent dose delivered per episode of renal replacement therapy (target 20-30 ml/kg/hour).
Outcomes
Percentage of patients that require blood transfusion as a consequence of bleeding from the extracorporeal renal replacement therapy circuit (target less than 5%).
Percentage of patients that have a confirmed deep- vein thrombosis or pulmonary embolism caused by the venous catheter (target less than 5%).
Percentage of patients with a confirmed catheter-related blood stream infection caused by the venous catheter (target less than 5%).
