Continuous Renal Replacement Therapy Specialized Teams: A Challenge to Improve Quality Performance

Acute kidney injury is a common condition in critical care, and continuous extracorporeal therapies have become part of the requirement for multiorgan support in critically ill patients. Availability of continuous renal replacement therapy (CRRT) in a healthcare center can influence the therapy performance and patient’s results, and it is challenging to attain high-quality standards in centers without previous experience in CRRT and with new therapy users. This chapter describes the experience of a highly specialized acute renal care service model with emphasis on timely interventions by an exclusive CRRT team, education and training, protocol development, quality performance improvement, and its impact on optimal clinical and pharmacoeconomic outcomes