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Quality Improvement at Scale: Evaluation of the Drivers and Barriers to Adoption and Sustainability of an Intervention to Reduce Late Referral in Chronic Kidney Disease by Thomas, Nicola; Nation, Michael; Woolnough, Lesley; Gallagher, Hugh is a Health Professions article available to read on EtoBox.

What is Quality Improvement at Scale: Evaluation of the Drivers and Barriers to Adoption and Sustainability of an Intervention to Reduce Late Referral in Chronic Kidney Disease about?

This quality improvement project aimed to drive large scale and sustained change to reduce the burden of chronic kidney disease in the UK. The intervention is a software program that extracts relevant biochemical data from laboratory databases which then generate graphs of estimated kidney function (eGFR) over time. Graphs showing progressive kidney disease are sent directly back to general practitioners (GPs) to alert them to rereview patient care and if necessary, refer to renal services. The aim of this evaluation study was to explain the barriers and drivers to implementation and adoption of the eGFR graph intervention. This evaluation study involved 5 of the 20 participating renal units (sites). A developmental evaluation approach was used. Methods included collection of descriptive data about graph reporting; GP surveys (n=68); focus groups (n=4) with practices; face-to-face interviews with secondary care clinicians (n=10). Results showed the mean number of graphs reviewed per week per site was 230, taking 1 hour per week per site. Only 18.2% graphs highlighted a concerning decline in kidney function. Important enablers to sustain the intervention were low cost, easy to under

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Author

Thomas, Nicola; Nation, Michael; Woolnough, Lesley; Gallagher, Hugh

Publisher

BMJ; [London]: BMJ Publishing Group Limited (ISSN 2399-6641)

Published

2020

Language

EN

Field

Health Professions (Health Sciences)