AUDIT
Management of AKI Amongst Trauma & Orthopaedic Patients
Guy's and St Thomas' NHS Foundation Trust
2024
Orthopaedics
ratings
Guidelines Used
NICE NG191
Background
NICE NG191 and Trust AKI guidelines mandate early detection and structured management of hospital-acquired AKI, but T&O inpatients at GSTT show inconsistent risk assessment, fluid management and care-bundle delivery
Aims
o improve adherence to Trust and NICE AKI guidelines for identification and management of AKI in T&O inpatients at GSTT during the audit cycle.
Objectives
Identify cohort: Capture all T&O inpatients flagged with AKI stage 2 or 3 from 1 September 2023 to 31 March 2024.
Process measure: Audit completion of AKI-risk assessments on admission and documentation of fluid‐management plans.
Bundle compliance: Review implementation of AKI care-bundle elements (e.g. medication review, input/output monitoring).
Education intervention: Deliver an AKI-management workshop to T&O staff by month 3.
Re-audit: Repeat the AKI audit in month 6, aiming for ≥80% compliance with guideline-recommended assessments and bundle delivery .
Keywords
Acute kidney injury
AKI management
NICE NG191
Orthopaedic inpatients
Hospital-acquired AKI
AKI care bundle
Clinical audit
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