Julie Slevin, Tackling Acute Kidney Injury Project Manager, UK Renal Registry, Julie.Slevin@renalregistry.nhs.uk
Tackling AKI is a Health Foundation funded step wedge improvement project. This project, being led by Derby Teaching Hospitals NHS Foundation Trust, will target reported deficiencies in care for AKI patients. An improvement package that has the potential to save 10,000 lives a year across England is to be implemented across two hospital networks to test its scalability and impact. The package of interventions has already been introduced at the Royal Derby Hospital and has been associated with improved patient outcomes. It has been proven to be practicable, sustainable and effective in this single organisation. This project will involve rolling it out to wider hospital networks. The interventions include an electronic AKI detection and alerting system, a tailor-made education package and an AKI care bundle. The partner organisations involved are The UK Renal Registry, Leeds Teaching Hospitals NHS Trust, Bradford Teaching Hospitals NHS Foundation Trust, Ashford and St Peter’s Hospital, Frimley Park Hospital NHS Foundation Trust and Surrey Pathology Services. It is anticipated that there will be improvements in fluid management, medication review, investigation and referral of patients with AKI. The primary patient outcome is to improve survival of AKI patients. Incidence of hospital-acquired AKI, AKI progression and hospital length of stay will also be measured. The UKRR will provide quantitative evaluation for the project.