Acute Kidney Injury: Everybody's Problem
Authors: Heffernan, C., Prescott, C., Womersley, J., Michalik, D. and Smith, L.
Conference: Royal College of Physician Edinburgh/Society of Acute Medicine: Past, Present and Future of medicine international conference
Abstract:INTRODUCTION: Acute Kidney Injury (AKI) is implicated in one of five hospitals admissions, estimated cost over £1 billion. NCEPOD report showed around 50% received sub-standard care. It is associated with increased short and long term mortality, progressive chronic kidney disease, increased length of stay, readmission and care post discharge. CQUINS: 1. Documented stage of the AKI. 2. Evidence of medication review. 3. Blood test and frequency of blood test required for monitoring post discharge documented.
AIM: Improve our AKI CQUIN performance and improve the quality of communication with primary care for AKI patients post discharge.
METHODS: The discharge summaries of all new adult AKI stages 1-3 between 1st-7th June 2015 (n=65) and June 2016 (n=68) were retrospectively reviewed for each of the three CQUINs.
RESULTS: In June 2015, performance of the CQUINS was poor. After intervention with training and alerts on the electronic system, in June 2016, this had improved (see figure 1 & 2).
CONCLUSION: The interventions of improved electronic reporting of AKIs, built in prompts and education has improved the care to AKI patients.
Source: Manual