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Richard Fluck AKI Frontiers Slide Set

Date post: 13-Apr-2017
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Evaluating the Think Kidneys Programme Dr Richard Fluck [email protected], Chair, Think Kidney
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Page 1: Richard Fluck AKI Frontiers Slide Set

Evaluating the Think Kidneys ProgrammeDr Richard [email protected],Chair, Think Kidney

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02/05/2023 | 2

An ‘intermediate’ health stateAssociated with other serious illness

Important marker of illness severity

“Force multiplier” for poor outcomes but …….

Potential to improve care

Reduce avoidable harm - death and morbidity

Reduce cost

AKI Frontiers RSM March 2017 Richard Fluck

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Our shared purpose: reduce harm related to AKI

Support commissioners and organisational leads in

driving and championing the need to improve

acute kidney injury care.

Provide clinicians and patients with the education,

information and access to and about acute kidney

injury to inform individual care

Establish the data flows to allow successful audit

and quality improvement

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Building the programme: collaboration

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Support commissioners and organisational leads in driving

and championing the need to improve acute kidney injury

care.

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AKI and Patient Safety Alerts

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AKI CQUIN driving improvementsCQUIN Elements: discharge summary items on AKI

• Stage of AKI; (a key aspect of AKI diagnosis)

• Evidence of medicines review having been undertaken (a key aspect of AKI treatment)

• Type of blood tests required on discharge for monitoring (a key aspect of post discharge care)

• Frequency of blood tests required on discharge for monitoring (a key aspect of post discharge care)

Data from > 29000 case notes in 2015/16

Proportion of Completed key items assessed in AKI patients’ discharge summaries by region

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Provide clinicians and patients with the education,

information and access to and about acute kidney injury to

inform individual care

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Educating and guiding

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Managing risk – people and place

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Detect Alert

Improving care for the individual

Respond

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Collaborating and sharing

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Establish the data flows to allow successful audit and

quality improvement

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‘AKI warning stage’

Patient management

system

Alert Response

Local systems

MessageMaster patient index

Other data systems

AKI Registry

RegionalNational

Research

QI

System Measurement

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Data flows and outputs

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System improvementEnhancing the capability and capacity of the NHS to improve safetyPatient Safety

Collaboratives

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A focused effort across all care settings

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EvaluationThink Kidneys

Has delivered system levers and leadershipProviding a framework for actionDelivered data flows ready to support improvementIt is sustainable – funded, resource for all

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Evaluation report 2017

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The chairs, co-chairs and teams of all the workstreams in ‘Think Kidneys’

Joan RussellHead of Patient SafetyNHS [email protected]

Ron CullenDirectorUK Renal [email protected]

Karen ThomasThink Kidneys Programme ManagerUK Renal [email protected]

www.linkedin.com/company/think-kidneys

www.twitter.com/ThinkKidneys

www.facebook.com/thinkkidneys

www.youtube.com/user/thinkkidneys

www.slideshare.net/ThinkKidneys

www.thinkkidneys.nhs.uk

Acknowledgements

| 20AKI Frontiers RSM March 2017 Richard Fluck


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