Renal Extracorporeal Quality Initiative: A Community of Practice

Background: The Renal Extracorporeal Quality Initiative(REQI) is a community of practice(CoP),a group with knowledge and expertise in one domain enhanced through interactive practice.We describe the development and implementation of REQI Methods: Key CoP principles used to develop REQI(Fig1).The shared topic of interest was pediatric ICU nephrology.Members included nephrology, neonatology,critical care,pharmacists,dietitians.Resources were added to departmental folders,guides and alerts were created(Tab1) Results: REQI started in 2014 with weekly audit bedside rounds using structured rounds templates addressing access,fluid balance,anticoagulation and nutrition delivery in real time. Bedside rounding extended the CoP,informing project development. Key Performance Indicators were integrated into a live dashboard and reviewed monthly(Fig2) Conclusion: REQI is a CoP fostering growth with shared learning and collaboration.As the healthcare landscape evolves,CoP principles remain essential in ensuring sustainable and patient-centered advancements in nephrology.REQI stands as a model for how CoP can transform healthcare delivery and outcomesFigure 1: This figure represents key components of a Community of Practice (CoP): Domain, Community and Practice.Figure 2: This is an example of the live dashboard used to monitor key performance indicators (KPIs) in real time and at monthly REQI meetings. REQI Projects - Project Title Description Handbook Handbook for trainees and staff about AKI and RRT diagnosis and management Critical Care Nephrology Training Additional year of critical care nephrology training for intensivists, nephrologists or neonatologists. Neonatal RRT Workgroup with expertise, knowledge and experience in Neonatal RRT to implement Carpediem in the NICU CRRT Workshop Critical care and nephrology fellows participate in annual bootcamp on prescription, delivery, and monitoring of CRRT AKI CDSS CDSS for community acquired AKI SCAMP Guideline for changing CRRT solutions to eliminate unnecessary waste