Richard Fluck AKI Frontiers Slide Set
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The document evaluates the Think Kidneys program aimed at improving care for acute kidney injury (AKI) through collaboration, education, and quality improvement. It highlights the need for clear data flows, clinicians' education, and key elements like discharge summaries to enhance patient safety. The program has established a framework for action that promotes systemic improvements in AKI management across various healthcare settings.
Richard Fluck AKI Frontiers Slide Set
- 1. Evaluating the Think Kidneys Programme Dr Richard Fluck richard.fluck@nhs.net, Chair, Think Kidney
- 2. | 2 An ‘intermediate’ health state Associated 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 11/04/2017AKI FrontiersRSM March 2017 Richard Fluck
- 3. 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 11/04/2017 | 3AKI FrontiersRSM March 2017 Richard Fluck
- 4. Building the programme: collaboration 11/04/2017AKI Frontiers RSM March 2017 Richard Fluck 4
- 5. Support commissioners and organisational leads in driving and championing the need to improve acute kidney injury care. 11/04/2017 5AKI Frontiers RSM March 2017 Richard Fluck
- 6. AKI and Patient Safety Alerts 11/04/2017 | 6AKI FrontiersRSM March 2017 Richard Fluck
- 7. AKI CQUIN driving improvements CQUIN 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 11/04/2017 | 7AKI FrontiersRSM March 2017 Richard Fluck
- 8. Provide clinicians and patients with the education, information and access to and about acute kidney injury to inform individual care 11/04/2017 8AKI Frontiers RSM March 2017 Richard Fluck
- 9. Educating and guiding 11/04/2017 | 9AKI FrontiersRSM March 2017 Richard Fluck
- 10. Managing risk – people and place 11/04/2017 | 10AKI FrontiersRSM March 2017 Richard Fluck
- 11. Detect Alert Improving care for the individual Respond 11/04/2017 | 11AKI FrontiersRSM March 2017 Richard Fluck
- 12. Collaborating and sharing 11/04/2017 | 12AKI FrontiersRSM March 2017 Richard Fluck
- 13. Establish the data flows to allow successful audit and quality improvement 11/04/2017 13AKI Frontiers RSM March 2017 Richard Fluck
- 14. ‘AKI warning stage’ Patient management system Alert Response Local systems Message Master patient index Other data systems AKI Registry Regional National Research QI System Measurement 14
- 15. Data flows and outputs 11/04/2017 | 15AKI FrontiersRSM March 2017 Richard Fluck
- 16. System improvement Enhancing the capability and capacity of the NHS to improve safetyPatient Safety Collaboratives 11/04/2017 | 16AKI FrontiersRSM March 2017 Richard Fluck
- 17. A focused effort across all care settings 11/04/2017 | 17AKI FrontiersRSM March 2017 Richard Fluck
- 18. Evaluation Think Kidneys Has delivered system levers and leadership Providing a framework for action Delivered data flows ready to support improvement It is sustainable – funded, resource for all 11/04/2017 | 18AKI FrontiersRSM March 2017 Richard Fluck
- 19. Evaluation report 2017 11/04/2017 | 19AKI FrontiersRSM March 2017 Richard Fluck
- 20. The chairs, co-chairs and teams of all the workstreams in ‘Think Kidneys’ Joan Russell Head of Patient Safety NHS England joan.russell@nhs.net Ron Cullen Director UK Renal Registry Ron.Cullen@renalregistry.nhs.uk Karen Thomas Think Kidneys Programme Manager UK Renal Registry Karen.Thomas@renalregistry.nhs.uk 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 11/04/2017 | 20AKI FrontiersRSM March 2017 Richard Fluck
Editor's Notes
- #4: Focused on: Who: who is at risk, vulnerable population, important triggers When: when do people sustain AKI, how is early diagnosis supported How: how should AKI be managed, prevention+treatment+recovery What: what do people need to know, public patients/carers, professionals