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J Am Coll Radiol ; 13(5): 549-53, 2016 May.
Article in English | MEDLINE | ID: mdl-26970700

ABSTRACT

Percutaneous renal transplant biopsy (PRTB) is the gold standard for evaluating allograft rejection after renal transplant. Hemorrhage is the predominant complication. We describe the implementation of a standardized protocol for PRTB at a single institution, with the aim of reducing bleeding complications. Utilizing the plan-do-study-act model for quality improvement, we created and deployed a protocol centered on controlling patient's hypertension, platelet function, and anticoagulation status. The 4-year study encompassed a total of 880 PRTBs, before and after implementation of the protocol. Total complication rate, which was 5.8% in the 2 years leading up to implementation of the protocol, was reduced to 2.9% after the protocol was introduced (P = .04). A standardized approach to PRTB can potentially lower complication rates; we present a framework for implementating a quality improvement protocol at other institutions.


Subject(s)
Graft Rejection/diagnosis , Image-Guided Biopsy/methods , Kidney Transplantation , Postoperative Complications/diagnosis , Postoperative Hemorrhage/diagnosis , Quality Improvement , Female , Humans , Male , Middle Aged , Risk Factors , Transplantation, Homologous
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