Acute Kidney Injury (AKI) occurs in up to one in five emergency admissions to hospital, and the financial burden to the NHS is estimated to be more than £1bn per year. Early identification of and response to AKI is considered a key step in improving outcomes for patients with AKI.
A novel care pathway has been developed by combining NHS guidelines for best practice with a mobile app (“streams-AKI”) that applies an NHS algorithm to live patient clinical data.
Key evaluation findings following implementation include:
- in-app review of blood tests in an average of 14 minutes
- significant improvements in the speed of recognition and treatment of AKI
- mean health care costs reduced by £2k per patient
- earlier, more constructive end-of-life planning
- a need for training in prevention and prioritization.