Acute Kidney Injury the next steps

Acute Kidney Injury the next steps featured image
Dr Begho Obale, Associate Specialist, and Practice Educators Rebecca Mclaughlin and Amanda Harvey at University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT), led a Listening into Action scheme to improve the quality of care of Acute Kidney Injury (AKI) patients in line with The National Institute for Health and Care Excellence (NICE) Clinical Guideline 169.

Their mission was to reduce patient mortality by 20%, to improve AKI awareness of all clinical staff to at least 70% and increase awareness of GPs and patients about AKI.

Why? AKI is a common problem in acutely ill patients, affecting 1 in 5 of all emergency admissions. 25% of all AKI patients admitted to UHMBT hospitals in 2015 died, which was an unacceptably high figure for a problem that can be preventable.

Clinical staff had a poor awareness of AKI.

The team developed a Kidney Attack pack which included;

•An AKI care bundle to improve care of inpatients,

•Improved fluid balance charts,

•Development of AKI cards for nurses and Doctors,

•e-Learning for nurses and doctors on TMS,

•Approved AKI patient information leaflet,

•Patient sick day guidance card,

•Two AKI practice nurses supporting ward staff and organising workshops in the management of AKI and use of fluid balance charts,

•Presentations to GP and collaboration .

Begho, Rebecca and Amanda’s scheme saw many positive outcomes including;

• A reduction in patient mortality from 25% to 18.6%,

• 854 staff have been trained in the management of AKI (62.2%),

• Over 70% of staff received trained on AKI,

• 1,214 staff passed the e-Learning module (80%).

If you would like to find out more about this scheme contact our Listening into Action team on [email protected] or 01524511989.
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