Improving the management of Acute Kidney Injury in a District General Hospital: Introduction of the DONUT bundle

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The NCEPOD report (2009) on Acute Kidney Injury (AKI) found 20% of post-admission AKIs were avoidable and only 50% of AKI care was considered 'good'. The DONUT bundle comprises of six interventions aimed at improving the management of AKI.

Education sessions outlining the DONUT bundle and stickers were delivered via Foundation Program teaching, along with summary flash cards. A re-audit assessed these interventions.

An education program and the use of a simple sticker did improve management.

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