ABSTRACTS from 16th International COnference on ... - CRRT Online

Surveillance and Early Recognition of AKI: Does it Make a Difference?
Educational Objectives:
1. Understand the potential role of electronic recognition systems for AKI
2. Discuss the methodology of electronic AKI recognition
3. Evaluate the impact of AKI reporting on clinical outcomes
Nick Selby MD
11:40-11:55
Friday, February 17
Content Description:
Acute Kidney Injury (AKI) is common, harmful and preventable. Failure to recognise AKI in hospitals can lead
to significant shortfalls in standards of care. The majority of patients with AKI are looked after by non-specialists
who may lack current training and knowledge in this area. This session will review methods to tackle this issue,
concentrating on the methodology and effectiveness of electronic reporting systems for AKI to improve early
recognition and diagnosis. Data on recent experience will be presented and the impact on clinical outcomes will
also be discussed.
Suggested Reading:
Rind, DM, Safran, C, Phillips, RS, Wang, Q, Calkins, DR, Delbanco, TL, Bleich, HL & Slack, WV: Effect of
computer-based alerts on the treatment and outcomes of hospitalized patients. Arch Intern Med, 154: 1511-7,
1994.
McCoy, AB, Waitman, LR, Gadd, CS, Danciu, I, Smith, JP, Lewis, JB, Schildcrout, JS & Peterson, JF: A computerized
provider order entry intervention for medication safety during acute kidney injury: a quality improvement
report. Am J Kidney Dis, 56: 832-41, 2010.
Colpaert, K, Hoste, E, Van Hoecke, S, Vandijck, D, Danneels, C, Steurbaut, K, De Turck, F & Decruyenaere, J:
Implementation of a real-time electronic alert based on the RIFLE criteria for acute kidney injury in ICU
patients. Acta Clin Belg Suppl: 322-5, 2007.
Thomas, M, Sitch, A & Dowswell, G: The initial development and assessment of an automatic alert warning of
acute kidney injury. Nephrology Dialysis Transplantation, 26: 2161-2168, 2011.
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