AKI Recognition and Management Audit

This audit measures whether acute kidney injury is recognised, staged and managed in line with national guidance, including repeat creatinine timing, fluid assessment, medication review and escalation to senior or renal teams.

• Foundation Doctors and Internal Medicine Trainees
• Acute Medicine teams
• AKI nurses and renal teams
• QI Leads

• Measure recognition and staging of AKI
• Measure timing of repeat creatinine following AKI alert
• Assess medication review, fluid assessment and escalation
• Generate ARCP evidence

• Anonymised case identifier
• AKI alert time
• AKI stage at recognition
• Repeat creatinine time
• Nephrotoxic medication review
• Fluid assessment documented
• Escalation and documented plan

• Live dashboard
• Audit report (Word)
• Executive summary (Word)
• Excel workbook
• PowerPoint presentation
• Conference poster
• ARCP evidence summary

• Designed to use anonymised or pseudonymised audit identifiers.
• This tool supports, but does not replace, clinical judgement.
• Local policy, formulary and specialist advice should be followed.
• Organisations remain responsible for local governance arrangements.

Supporting guidance from the Lazomis QI Resource Library. Authoritative clinical standards referenced by this project remain separate.

• Patient SafetyMedicines Safety: A Systems Approach to Reducing HarmThis guide moves beyond individual error, explaining how a systems-based approach can fundamentally improve medicines safety across the NHS and reduce patient harm by addressing underlying contributing factors.
• Patient SafetyStandardisation in Healthcare: Enhancing Patient Safety and EfficiencyThis guide examines the role of standardisation in improving patient safety and efficiency within the NHS, offering practical insights and a structured approach to implementation.
• Patient SafetyLearning from Near Misses: Enhancing Patient Safety in the NHSThis guide provides practical strategies for NHS clinicians and teams to proactively identify, report, and learn from near misses, helping to prevent adverse events and improve patient safety.
• Patient FlowOptimising Patient Flow Between Emergency Department and Acute Medical UnitThis guide explores common challenges in patient flow between the Emergency Department (ED) and Acute Medical Units (AMU), offering practical strategies for improvement, focusing on clinical and operational alignment.