Acute Kidney Injury: It’s as easy as ABCDE

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This improvement report from the Ulster Hospital, Belfast details a four week educational programme delivered, initially on a pilot ward, to doctors, nurses, nursing assistants and pharmacists. AKI recognition and implementation of the 'ABCDE' checklist were measured.


Prior to project introduction 16% of patients developed AKI, but were recognised within 24 hours in only 31% of cases, with 80% of 'ABCDE' steps implemented in only 20%. Following multidisciplinary education, AKI recognition improved to 100%, with 80% of 'ABCDE' steps implemented in 67% of cases. The report will be useful to teams aiming to implement similar programmes.

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