The VCSQI is interested in collecting preliminary data on how member facilities are addressing the problem of acute kidney injury (AKI) related to radiographic contrast administration or following cardiac surgery. 

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* 1. Contact Info

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* 2. Do you perform an AKI risk assessment in patients before contrast administration (e.g. the Mehran score)?   

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* 3. What do you use for risk assessment?

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* 4. Do you use an AKI prevention protocol at your facility?

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* 5. If yes, are you willing to share that protocol?  

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* 6. If you do not have a comprehensive AKI protocol, do you have a pre/post procedure hydration protocol?

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* 7. If yes, is the protocol based on physiologic parameters (e.g. LVEDP measurement) or the empiric administration of fluid?

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* 8. If yes, are you willing to share that protocol?

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* 9. Are any of your protocols built into order sets in your EMR?

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* 10. If yes, are you willing to share those order sets?

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* 11. Do you check a creatinine in all patients after contrast administration or only in those felt to be “at-risk” for AKI? 

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* 12. When do you check the creatinine?

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* 13. However you decide to collect a post-procedure creatinine, how successful are you in collecting creatinine after the procedure?

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* 14. At what level of creatinine or GFR do you consult nephrology?

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* 15. Do you consult nephrology if AKI develops? 

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* 16. Do you perform a risk assessment/stratification for AKI in patients before CVS (CCF risk score/Mehran)?

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* 17. Do you consult nephrology before surgery in patients at risk for AKI?

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* 18. Do you consult nephrology if AKI develops following surgery?

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* 19. At what level of creatinine or GFR do you consult nephrology?

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* 20. If the VCSQI developed a standard protocol to address AKI after contrast administration or cardiovascular surgery, would your facility participate?  We would try to leverage NCDR and STS data already collected to reduce the burden of data collection.  Collection of a post-procedure creatinine is desired but not an absolute requirement for participation.

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