{"id":"https://openalex.org/W4397045669","doi":"https://doi.org/10.1681/asn.20233411s159b","title":"IMPROVE AKI: Sustainability of Team-Based Coaching Interventions to Improve AKI in a Cluster-Randomized Trial","display_name":"IMPROVE AKI: Sustainability of Team-Based Coaching Interventions to Improve AKI in a Cluster-Randomized Trial","publication_year":2023,"publication_date":"2023-11-01","ids":{"openalex":"https://openalex.org/W4397045669","doi":"https://doi.org/10.1681/asn.20233411s159b"},"language":"en","primary_location":{"id":"doi:10.1681/asn.20233411s159b","doi":"https://doi.org/10.1681/asn.20233411s159b","is_oa":false,"landing_page_url":"https://doi.org/10.1681/asn.20233411s159b","pdf_url":null,"source":{"id":"https://openalex.org/S115693375","display_name":"Journal of the American Society of Nephrology","issn_l":"1046-6673","issn":["1046-6673","1533-3450"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315620","host_organization_name":"American Society of Nephrology","host_organization_lineage":["https://openalex.org/P4310315620"],"host_organization_lineage_names":["American Society of Nephrology"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Society of Nephrology","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5011689338","display_name":"Michael Edwin Matheny","orcid":"https://orcid.org/0000-0003-3217-4147","observed_orcids":["https://orcid.org/0000-0003-3217-4147"]},"institutions":[{"id":"https://openalex.org/I4210101790","display_name":"VA Tennessee Valley Healthcare System","ror":"https://ror.org/01c9rqr26","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210101790","https://openalex.org/I4210112672"]},{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael E. Matheny","raw_affiliation_strings":["VA Tennessee Valley Healthcare System, Nashville, TN;","Vanderbilt University Medical Center, Nashville, TN;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"VA Tennessee Valley Healthcare System, Nashville, TN;","institution_ids":["https://openalex.org/I4210101790"]},{"raw_affiliation_string":"Vanderbilt University Medical Center, Nashville, TN;","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076329811","display_name":"Richard Solomon","orcid":"https://orcid.org/0000-0002-5943-4378","observed_orcids":["https://orcid.org/0000-0002-5943-4378"]},"institutions":[{"id":"https://openalex.org/I2801980284","display_name":"University of Vermont Medical Center","ror":"https://ror.org/04cewr321","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801980284"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Richard J. Solomon","raw_affiliation_strings":["University of Vermont Medical Center, Burlington, VT;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Vermont Medical Center, Burlington, VT;","institution_ids":["https://openalex.org/I2801980284"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063516544","display_name":"Sharon E. Davis","orcid":"https://orcid.org/0000-0003-0792-8867","observed_orcids":["https://orcid.org/0000-0003-0792-8867"]},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sharon E. Davis","raw_affiliation_strings":["Vanderbilt University Medical Center, Nashville, TN;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Vanderbilt University Medical Center, Nashville, TN;","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007225260","display_name":"Kevin C. Cox","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I107672454","display_name":"Dartmouth College","ror":"https://ror.org/049s0rh22","country_code":"US","type":"education","lineage":["https://openalex.org/I107672454"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kevin C. Cox","raw_affiliation_strings":["Dartmouth College Geisel School of Medicine, Hanover, NH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dartmouth College Geisel School of Medicine, Hanover, NH","institution_ids":["https://openalex.org/I107672454"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068874970","display_name":"Meagan E. Stabler","orcid":"https://orcid.org/0000-0002-3706-2622","observed_orcids":["https://orcid.org/0000-0002-3706-2622"]},"institutions":[{"id":"https://openalex.org/I107672454","display_name":"Dartmouth College","ror":"https://ror.org/049s0rh22","country_code":"US","type":"education","lineage":["https://openalex.org/I107672454"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Meagan E. Stabler","raw_affiliation_strings":["Dartmouth College Geisel School of Medicine, Hanover, NH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dartmouth College Geisel School of Medicine, Hanover, NH","institution_ids":["https://openalex.org/I107672454"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057487553","display_name":"Dax M. Westerman","orcid":"https://orcid.org/0000-0002-9547-7789","observed_orcids":["https://orcid.org/0000-0002-9547-7789"]},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dax Westerman","raw_affiliation_strings":["Vanderbilt University Medical Center, Nashville, TN;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Vanderbilt University Medical Center, Nashville, TN;","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075171209","display_name":"Chad A. Dorn","orcid":"https://orcid.org/0000-0002-4886-6159","observed_orcids":["https://orcid.org/0000-0002-4886-6159"]},"institutions":[{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Chad A. Dorn","raw_affiliation_strings":["Vanderbilt University Medical Center, Nashville, TN;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Vanderbilt University Medical Center, Nashville, TN;","institution_ids":["https://openalex.org/I901861585"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068655863","display_name":"A. James O\u2019Malley","orcid":"https://orcid.org/0000-0001-8389-6217","observed_orcids":["https://orcid.org/0000-0001-8389-6217","https://orcid.org/0009-0000-4902-4132"]},"institutions":[{"id":"https://openalex.org/I107672454","display_name":"Dartmouth College","ror":"https://ror.org/049s0rh22","country_code":"US","type":"education","lineage":["https://openalex.org/I107672454"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"James O'Malley","raw_affiliation_strings":["Dartmouth College Geisel School of Medicine, Hanover, NH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dartmouth College Geisel School of Medicine, Hanover, NH","institution_ids":["https://openalex.org/I107672454"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5090634300","display_name":"Jeremiah R. Brown","orcid":"https://orcid.org/0000-0003-4512-9716","observed_orcids":["https://orcid.org/0000-0003-4512-9716"]},"institutions":[{"id":"https://openalex.org/I107672454","display_name":"Dartmouth College","ror":"https://ror.org/049s0rh22","country_code":"US","type":"education","lineage":["https://openalex.org/I107672454"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jeremiah R. Brown","raw_affiliation_strings":["Dartmouth College Geisel School of Medicine, Hanover, NH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dartmouth College Geisel School of Medicine, Hanover, NH","institution_ids":["https://openalex.org/I107672454"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"34","issue":"11S","first_page":"59","last_page":"59"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10684","display_name":"Acute Kidney Injury Research","score":0.7782999873161316,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10684","display_name":"Acute Kidney Injury Research","score":0.7782999873161316,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.12999999523162842,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.021700000390410423,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-kidney-injury","display_name":"acute kidney injury","score":0.972000002861023},{"id":"https://openalex.org/keywords/aki-prevention","display_name":"AKI prevention","score":0.953000009059906},{"id":"https://openalex.org/keywords/intervention-sustainability","display_name":"intervention sustainability","score":0.625},{"id":"https://openalex.org/keywords/cardiac-catheterization","display_name":"cardiac catheterization","score":0.8650000095367432},{"id":"https://openalex.org/keywords/technical-assistance","display_name":"technical assistance","score":0.6869999766349792},{"id":"https://openalex.org/keywords/chronic-kidney-disease","display_name":"chronic kidney disease","score":0.7770000100135803},{"id":"https://openalex.org/keywords/veterans-affairs-hospitals","display_name":"Veterans Affairs hospitals","score":0.777999997138977},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.5199999809265137}],"concepts":[{"id":"https://openalex.org/C2779363792","wikidata":"https://www.wikidata.org/wiki/Q1104185","display_name":"Coaching","level":2,"score":0.7099039554595947},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.668578565120697},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.6256740093231201},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5503754019737244},{"id":"https://openalex.org/C66204764","wikidata":"https://www.wikidata.org/wiki/Q219416","display_name":"Sustainability","level":2,"score":0.5160069465637207},{"id":"https://openalex.org/C164866538","wikidata":"https://www.wikidata.org/wiki/Q367351","display_name":"Cluster (spacecraft)","level":2,"score":0.5095441937446594},{"id":"https://openalex.org/C176400912","wikidata":"https://www.wikidata.org/wiki/Q3058662","display_name":"Cluster randomised controlled trial","level":3,"score":0.46593111753463745},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3901161551475525},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.22556835412979126},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.21706348657608032},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.1121143102645874},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.10753709077835083},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.06490060687065125},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C18903297","wikidata":"https://www.wikidata.org/wiki/Q7150","display_name":"Ecology","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1681/asn.20233411s159b","doi":"https://doi.org/10.1681/asn.20233411s159b","is_oa":false,"landing_page_url":"https://doi.org/10.1681/asn.20233411s159b","pdf_url":null,"source":{"id":"https://openalex.org/S115693375","display_name":"Journal of the American Society of Nephrology","issn_l":"1046-6673","issn":["1046-6673","1533-3450"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315620","host_organization_name":"American Society of Nephrology","host_organization_lineage":["https://openalex.org/P4310315620"],"host_organization_lineage_names":["American Society of Nephrology"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Society of Nephrology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4396992192","https://openalex.org/W4410411325","https://openalex.org/W4317617261","https://openalex.org/W4409119872","https://openalex.org/W4294771393","https://openalex.org/W4388486248","https://openalex.org/W4396991764","https://openalex.org/W3015127452","https://openalex.org/W7117143364","https://openalex.org/W2153206129"],"abstract_inverted_index":{"Background:":[0],"Up":[1],"to":[2,30,89,100,142,189,240],"14%":[3],"who":[4],"undergo":[5],"cardiac":[6],"catheterization":[7],"procedures":[8],"in":[9,64,93,182,227],"the":[10,41,52,65,68,73,127,145,162,185,190,197,202,228],"U.S.":[11],"each":[12],"year":[13],"may":[14],"experience":[15],"acute":[16],"kidney":[17,174],"injury":[18],"(AKI).":[19],"An":[20],"absence":[21],"of":[22,43,54,72,154,168],"standards":[23],"for":[24,134,144,201,254],"implementing":[25],"known":[26],"interventions":[27,234],"hinders":[28],"efforts":[29],"prevent":[31],"AKI.":[32],"In":[33],"a":[34,47,94,179,213],"2x2":[35,77],"factorial":[36,78],"cluster-randomized":[37,79],"trial,":[38],"we":[39],"found":[40],"combination":[42],"team-based":[44,91],"coaching":[45,92,210],"and":[46,111,117,266],"data-driven":[48,214],"surveillance":[49,215],"dashboard":[50,216],"reduced":[51],"odds":[53],"AKI":[55,105,135,158,183,220,243],"by":[56,221],"46%.":[57],"We":[58,177],"hypothesized":[59],"these":[60],"improvements":[61],"would":[62],"persist":[63],"period":[66],"following":[67,126,161,249],"active":[69,128,163,203,225],"intervention":[70,129,164,204],"phase":[71,205],"trial.":[74],"Methods:":[75],"A":[76],"trial":[80,229],"was":[81],"conducted":[82],"that":[83],"randomized":[84,151],"20":[85,150],"Veteran":[86],"Affairs":[87],"hospitals":[88],"receive":[90],"Virtual":[95],"Learning":[96],"Collaborative":[97],"(VLC)":[98],"compared":[99,188],"Technical":[101],"Assistance":[102],"with":[103,110,138,171,196,212],"an":[104,236],"Prevention":[106],"Toolkit":[107],"(TA),":[108],"both":[109],"without":[112],"Automated":[113],"Surveillance":[114],"Reporting":[115],"(VLC+ASR":[116],"TA+ASR).":[118],"Patient":[119],"outcomes":[120],"were":[121,136,252],"collected":[122],"over":[123],"18":[124],"months":[125],"phase.":[130],"Multilevel":[131],"logistic":[132],"models":[133],"fit":[137],"site-level":[139],"random":[140],"effects":[141],"account":[143],"clustered":[146],"design.":[147],"Results:":[148],"Across":[149],"sites,":[152],"440":[153],"4,160":[155],"patients":[156,170],"experienced":[157],"during":[159],"18-months":[160],"phase,":[165],"including":[166],"216":[167],"1,260":[169],"pre-existing":[172],"chronic":[173],"disease":[175],"(CKD).":[176],"observed":[178],"substantial":[180],"reduction":[181],"within":[184],"VLC+ASR":[186],"cluster":[187,192],"TA":[191],"(aOR=0.60;":[193],"0.42-0.86)":[194],"consistent":[195],"effect":[198],"previously":[199],"reported":[200],"(aOR=0.54;":[206],"0.40-0.74).":[207],"Conclusions:":[208],"Team-based":[209],"along":[211],"can":[217],"sustainably":[218],"reduce":[219],"40%,":[222],"even":[223],"after":[224],"participation":[226],"is":[230],"complete.":[231],"These":[232],"combined":[233],"are":[235],"effective,":[237],"scalable":[238],"framework":[239],"establish":[241],"aggressive":[242],"prevention":[244],"protocols.":[245],"Funding:":[246],"NIDDK":[247],"SupportThe":[248],"patient":[250],"features":[251],"included":[253],"adjustment:":[255],"age,":[256],"race,":[257],"tobacco":[258],"use,":[259],"anemia,":[260],"heart":[261],"failure,":[262],"CKD,":[263],"diabetes,":[264],"hypertension,":[265],"prior":[267],"percutaneous":[268],"coronary":[269],"intervention.":[270]},"counts_by_year":[],"updated_date":"2026-09-24T07:57:37.273135","created_date":"2024-05-19T00:00:00"}