Acute Kidney Injury

Acute Kidney Injury (AKI) is an emerging global healthcare issue. As health care increases in complexity, the interaction between long term medical conditions, medication and inter-current illness are too often complicated by acute kidney injury.

It is estimated that one in five emergency admissions into hospital are associated with acute kidney injury (Wang et al, 2012), that up to 100,000 deaths in secondary care are associated with acute kidney injury and that 1/4 to 1/3 have the potential to be prevented (National Confidential Enquiry into Patient Outcome and Death (NCEPOD) Adding Insult to Injury 2009).

National work across NHS England (lead by our National Clinical Director – Richard Fluck) can be accessed here

More locally, and following on from the NHS England’s Five Year Forward View (FYFV) the Cardiovascular Network is working with Emma Vaux (Consultant Nephrologist & Programme Director for Quality Improvement – RBFT) to scope out what the National Patient Safety Alert for AKI (PDF)and the specific reference  to an AKI CQUIN in the FYFV could be taken up by commissioners.

Further Resources

AKI – Patient Safety Alert:

In line with the Patient Safety Alert, best practice guidance has been launched to enable the transmission of AKI warning stage data from Laboratory Information Management (LIMS) to the UK Renal Registry which will generate e-alerts comparable to a national baseline to aid greater identification.

Transmitting AKI Warning Stage Data to the UKRR final (PDF)


Think Kidneys website

The Acute Kidney Injury National Programme’s website ‘Think Kidneys’ is the new identity for the national AKI programme.

Link to Think Kidneys website

Link to Think Kidneys forum website

New online training resource for nurses

New online training for nurses launched by Nursing Times and Think Kidneys to reduce risk of dehydration and acute kidney injury  (17/11/14)

Link to website with registration

Recognising and preventing dehydration among patients – information website