Of increasing importance both nationally and locally for patient safety is the issue of Acute Kidney Injury (AKI). AKI is a rapid deterioration of renal function, resulting in inability to maintain fluid, electrolyte and acid-base balance. It is detected and monitored by serial serum creatinine readings primarily, which rise acutely. Inpatient mortality varies greatly, but in the UK it may be 20-30% or even higher, and patients who have had AKI are at increased risk of developing CKD. Better managing AKI is receiving increasing focus by policy makers, with the UK National Institute for Health and Care Excellence (NICE) in 2013 publishing guidance on this issue.
As part of the EBT Theme’s work on behaviour change for patient safety transformation, we are currently undertaking a small project which aims to use behaviour change approaches to the underpin better management of the response to AKI alerts. This will involve mapping the process of receiving and responding to AKI alerts, followed by identifying the key behaviour within this process to understand further and seek to provide support for. Please follow Research Capability Funding link for details of additional AKI behaviour change work.