Table 1

A summary of the interventions undertaken during each quarter of the first year

Stage of projectTimingInterventions undertaken
 Prior to project beginningAKI care bundle (March 2015)
AKI alert system commenced (March 2015)
GP focus group on content of AKI aftercare information in EDL (April–June 2015)
Quarter 1
Baseline measurement
April–June 2015AKI launch day
Email bulletins
Quarter 2July–September 2015Automated AKI annotation of GP aftercare information in EDL
Education events
Junior doctor induction
Screensaver
Targeted reminders
Nurse time (4 hours/week) for education
Manual completion of EDLs by nurse
Quarter 3October–December 2015Education events
Manual completion of EDLs by nurse and/or nephrologist
Automated population of EDL diagnosis list with AKI alert
Quarter 4January–March 2016Education events
Automated population of EDL diagnosis list with AKI alert
Mandated completion of AKI annotation prior to EDL sign-off
Post -CQUINFrom April 2016Automated population of EDL diagnosis list with AKI alert
Mandated completion of AKI annotation prior to EDL sign-off
  • AKI, acute kidney injury; CQUIN, Commissioning for Quality and Innovation; EDL, electronic discharge letter; GP, general practitioner.