Your quality improvement organization (QIO) has alerted your hospital that you are under a focused review for overutilization of healthcare services for your Medicare population. Write a 3 to 4 page report of your plans including the following: Identify the steps you would take to assess the situation Identify what structures and processes within the organization that should be examined If a problem is confirmed, identify what steps you would take to correct the situation Identify how you would ensure that the situation is corrected on an ongoing basis

Ahealthy 26-year-old woman sustained a significant crush injury to her right upper extremity while on the job at a local construction site. she was brought to the emergency department and subsequently underwent pinning and reconstructive surgery and received perioperative broad-spectrum antibiotics. her blood pressure remained normal throughout her hospital course. on the second hospital day, a medical consultant noted a marked increase in her creatinine, from 0.8 to 1.9 mg/dl. her urine output dropped to 20 ml/h. serum creatine kinase was ordered and reported as 3400 units/l. questions what are the primary causes of this patient’s acute kidney injury? how should her kidney injury be categorized (as prerenal, intrarenal, or postrenal)? how should she be treated?