What are doing?
In year 1 we explored the key issues associated with the processes of care for patients with Acute Kidney Injury (AKI), to inform production of a toolkit as a resource for primary care teams. The next phase of work aims to support the implementation of quality improvement methods into routine practice, in order to improve patient safety in general practice and at the interfaces between healthcare sectors, through the lens of AKI.
We plan to to identify processes of care and management of patients with AKIe, using a quality improvement approach of testing and sharing learning, we aim to explore:
Processes to improve communication of AKI between secondary and primary care;
Processes to improve diagnosis and coding of AKI;
Timely care and surveillance (e.g. serum creatinine checks; medication reviews and information given to patients as per national guidelines).
Facilitating the collaboration between secondary and primary care is at the core of this project, by creating a strong relationships between the teams and sharing important information to inform improvement at the interface between hospital and general practice care going forward.
CLAHRC GM is working in collaboration with Royal College of GPs,Think Kidneys, AHSN Kent Surrey Sussex, AHSN North East and North Cumbria, NIHR Greater Manchester Patient Safety Translational Research Centre, Health Improvement Scotland and NHS Education for Scotland.
Why is it important?
AKI is a major marker of patient safety and illness severity. Illness complicated by AKI is associated with poor health outcomes in terms of high rates of rehospitalisation, development or progression of Chronic Kidney Disease (CKD), and mortality. NHS England has introduced a Level 3 Patient Safety Directive to improve the recognition and response to AKI.
As a clinical syndrome, AKI offers a lens to learn and improve care delivery and patient safety for people with a range of conditions, particularly those taking multiple medicines and living with complex health and social care needs (i.e. multi-morbidity).
How will we do it?
The current phase of work will be done through the use of a RAND study. In summary, this will entail:
• A review of existing guidelines and literature
• Development of clinical scenarios for testing
• Creation of panel of experts to review clinical scenarios
• Organisation and facilitation of two-day meeting to determine agreed treatment
Aside from the development of the consensus guidance, we will continue to update the RCGP AKI Toolkit and develop a series of podcasts to raise awareness of AKI and signpost GPs to the toolkit.
Who are we working with?
Royal College of GPs
AHSN Kent Surrey Sussex
AHSN North East and North Cumbria
NIHR Greater Manchester Patient Safety Translational Research Centre
Health Improvement Scotland
NHS Education for Scotland
- Evaluation Reports, Toolkits and Training Manuals
- News Stories
RCGP launch Acute Kidney Injury Toolkit for GPs (June 2018)
For further information, please contact Susan Howard (Programme Manager)