BIOMAT Database Logo BIOMAT Database Logo

Screening for diabetic kidney disease in primary care: A quality improvement initiative. 2020

Michelle Deem, and Jennifer Rice, and Kathleen Valentine, and Jean Ellen Zavertnik, and Manju Lakra

Gaps in care currently exist between diabetic kidney disease (DKD) guidelines and diabetes management in primary care settings. Implementation of quality improvement (QI) initiatives often improves these gaps in care. This article outlines a QI initiative exploring whether a local Federally Qualified Health Center could improve rates of screening for microalbuminuria, diagnosis of DKD, and treatment of the disorder in patients with type 2 diabetes mellitus.

UI MeSH Term Description Entries
D008403 Mass Screening Organized periodic procedures performed on large groups of people for the purpose of detecting disease. Screening,Mass Screenings,Screening, Mass,Screenings,Screenings, Mass
D011320 Primary Health Care Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192) Primary Care,Primary Healthcare,Care, Primary,Care, Primary Health,Health Care, Primary,Healthcare, Primary
D003924 Diabetes Mellitus, Type 2 A subclass of DIABETES MELLITUS that is not INSULIN-responsive or dependent (NIDDM). It is characterized initially by INSULIN RESISTANCE and HYPERINSULINEMIA; and eventually by GLUCOSE INTOLERANCE; HYPERGLYCEMIA; and overt diabetes. Type II diabetes mellitus is no longer considered a disease exclusively found in adults. Patients seldom develop KETOSIS but often exhibit OBESITY. Diabetes Mellitus, Adult-Onset,Diabetes Mellitus, Ketosis-Resistant,Diabetes Mellitus, Maturity-Onset,Diabetes Mellitus, Non-Insulin-Dependent,Diabetes Mellitus, Slow-Onset,Diabetes Mellitus, Stable,MODY,Maturity-Onset Diabetes Mellitus,NIDDM,Diabetes Mellitus, Non Insulin Dependent,Diabetes Mellitus, Noninsulin Dependent,Diabetes Mellitus, Noninsulin-Dependent,Diabetes Mellitus, Type II,Maturity-Onset Diabetes,Noninsulin-Dependent Diabetes Mellitus,Type 2 Diabetes,Type 2 Diabetes Mellitus,Adult-Onset Diabetes Mellitus,Diabetes Mellitus, Adult Onset,Diabetes Mellitus, Ketosis Resistant,Diabetes Mellitus, Maturity Onset,Diabetes Mellitus, Slow Onset,Diabetes, Maturity-Onset,Diabetes, Type 2,Ketosis-Resistant Diabetes Mellitus,Maturity Onset Diabetes,Maturity Onset Diabetes Mellitus,Non-Insulin-Dependent Diabetes Mellitus,Noninsulin Dependent Diabetes Mellitus,Slow-Onset Diabetes Mellitus,Stable Diabetes Mellitus
D003928 Diabetic Nephropathies KIDNEY injuries associated with diabetes mellitus and affecting KIDNEY GLOMERULUS; ARTERIOLES; KIDNEY TUBULES; and the interstitium. Clinical signs include persistent PROTEINURIA, from microalbuminuria progressing to ALBUMINURIA of greater than 300 mg/24 h, leading to reduced GLOMERULAR FILTRATION RATE and END-STAGE RENAL DISEASE. Diabetic Glomerulosclerosis,Glomerulosclerosis, Diabetic,Diabetic Kidney Disease,Diabetic Nephropathy,Intracapillary Glomerulosclerosis,Kimmelstiel-Wilson Disease,Kimmelstiel-Wilson Syndrome,Nodular Glomerulosclerosis,Diabetic Kidney Diseases,Glomerulosclerosis, Nodular,Kidney Disease, Diabetic,Kidney Diseases, Diabetic,Kimmelstiel Wilson Disease,Kimmelstiel Wilson Syndrome,Nephropathies, Diabetic,Nephropathy, Diabetic,Syndrome, Kimmelstiel-Wilson
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000419 Albuminuria The presence of albumin in the urine, an indicator of KIDNEY DISEASES. Albuminurias
D017410 Practice Guidelines as Topic Works about directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery. Clinical Guidelines as Topic,Best Practices,Best Practice
D058996 Quality Improvement The attainment or process of attaining a new level of performance or quality. Improvement, Quality,Improvements, Quality,Quality Improvements

Related Publications

Michelle Deem, and Jennifer Rice, and Kathleen Valentine, and Jean Ellen Zavertnik, and Manju Lakra
Screening for diabetic kidney disease in primary care for the underinsured: A quality improvement initiative.
May 2016, Applied nursing research : ANR,
Michelle Deem, and Jennifer Rice, and Kathleen Valentine, and Jean Ellen Zavertnik, and Manju Lakra
Improving Depression Screening in Primary Care: A Quality Improvement Initiative.
June 2022, Journal of community health,
Michelle Deem, and Jennifer Rice, and Kathleen Valentine, and Jean Ellen Zavertnik, and Manju Lakra
Enhancing primary care capacity in chronic kidney disease management: a quality improvement educational initiative.
November 2021, BMJ open,
Michelle Deem, and Jennifer Rice, and Kathleen Valentine, and Jean Ellen Zavertnik, and Manju Lakra
Quality improvement initiative for pain management practices in primary care.
September 2020, Proceedings (Baylor University. Medical Center),
Michelle Deem, and Jennifer Rice, and Kathleen Valentine, and Jean Ellen Zavertnik, and Manju Lakra
Preventive Nail Care Among Diabetic Patients: A Quality Improvement Initiative.
January 2022, Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society,
Michelle Deem, and Jennifer Rice, and Kathleen Valentine, and Jean Ellen Zavertnik, and Manju Lakra
Preventive Nail Care Among Diabetic Patients: A Quality Improvement Initiative.
January 2022, Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society,
Michelle Deem, and Jennifer Rice, and Kathleen Valentine, and Jean Ellen Zavertnik, and Manju Lakra
[Primary care for diabetic patients: a quality improvement cycle].
January 2014, Revista de calidad asistencial : organo de la Sociedad Espanola de Calidad Asistencial,
Michelle Deem, and Jennifer Rice, and Kathleen Valentine, and Jean Ellen Zavertnik, and Manju Lakra
Feasibility of patient navigation in resident primary care practice: a screening mammography quality improvement initiative.
January 2014, The Journal of ambulatory care management,
Michelle Deem, and Jennifer Rice, and Kathleen Valentine, and Jean Ellen Zavertnik, and Manju Lakra
Improving Adolescent Depression in Primary Care: A Quality Improvement Initiative.
March 2023, The journal for nurse practitioners : JNP,
Michelle Deem, and Jennifer Rice, and Kathleen Valentine, and Jean Ellen Zavertnik, and Manju Lakra
Improving diabetic foot screening at a primary care clinic: A quality improvement project.
August 2016, African journal of primary health care & family medicine,
Copied contents to your clipboard!