Stage of project | Timing | Interventions undertaken |
Prior to project beginning | AKI 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 2015 | AKI launch day Email bulletins |
Quarter 2 | July–September 2015 | Automated 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 3 | October–December 2015 | Education events Manual completion of EDLs by nurse and/or nephrologist Automated population of EDL diagnosis list with AKI alert |
Quarter 4 | January–March 2016 | Education events Automated population of EDL diagnosis list with AKI alert Mandated completion of AKI annotation prior to EDL sign-off |
Post -CQUIN | From April 2016 | Automated 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.