Scientific Aspects of Dialysis Therapy

JSDT/ISBP Anniversary Edition

Editor(s): Kawanishi, H. (Hiroshima)
Takemoto, Y. (Osaka)

Acute Kidney Injury

Automated Electronic Alert Systems for Acute Kidney Injury: Current Status and Future Perspectives

Uchino E. · Kondo N. · Matsubara T. · Yanagita M.

Author affiliations

Department of Nephrology, Graduate School of Medicine, Kyoto University, Kyoto, Japan

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Kawanishi H, Takemoto Y (eds): Scientific Aspects of Dialysis Therapy: JSDT/ISBP Anniversary Edition. Contrib Nephrol. Basel, Karger, 2017, vol 189, pp 124-129
https://doi.org/10.1159/000452260

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Article / Publication Details

First-Page Preview
Abstract of Acute Kidney Injury

Published online: December 12, 2016
Cover Date: 2017

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 2

ISBN: 978-3-318-05928-1 (Print)
eISBN: 978-3-318-05929-8 (Online)

Abstract

Background: Acute kidney injury (AKI) is a common and serious condition, but the process of care for patients with AKI is currently suboptimal. Automated AKI electronic (e)-alert systems are expected to improve the process of care and patient outcomes. Summary: There have been several reports on the implementation of e-alert systems, which have the potential to improve patient outcomes, but evidence of their effectiveness has not been established. There are some challenges to the development of better e-alert systems. Algorithms for detection should be examined, optimal alert outputs should be designed for each situation, and appropriate evaluation of the overall working of the systems is essential for future studies. Key Messages: Improvements to the current features of e-alert systems should include a better AKI detection algorithm and appropriate alert outputs, and overall system performance should be evaluated in future studies.

© 2017 S. Karger AG, Basel



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References

  1. Li PK, Burdmann EA, Mehta RL: Acute kidney injury: global health alert. Kidney Int 2013;83:372-376.
  2. Harel Z, Wald R, Bargman JM, Mamdani M, Etchells E, Garg AX, Ray JG, Luo J, Li P, Quinn RR, Forster A, Perl J, Bell CM: Nephrologist follow-up improves all-cause mortality of severe acute kidney injury survivors. Kidney Int 2013;83:901-908.
  3. Stewart JA: Adding insult to injury: care of patients with acute kidney injury. Br J Hosp Med (Lond) 2009;70:372-373.
  4. Wilson FP, Bansal AD, Jasti SK, Lin JJ, Shashaty Michael G, Berns JS, Feldman HI, Fuchs BD: The impact of documentation of severe acute kidney injury on mortality. Clin Nephrol 2013;80:417-425.
  5. Rind DM, Safran C, Phillips RS, Slack WV, Calkins DR, Delbanco TL, Bleich HL: The effect of computer-based reminders on the management of hospitalized patients with worsening renal function. Proc Annu Symp Comput Appl Med Care 1991, pp 28-32.
  6. Rind DM, Safran C, Phillips RS, Wang Q, Calkins DR, Delbanco TL, Bleich HL, Slack WV: Effect of computer-based alerts on the treatment and outcomes of hospitalized patients. Arch Intern Med 1994;154:1511-1517.
  7. Thomas M, Sitch A, Dowswell G: The initial development and assessment of an automatic alert warning of acute kidney injury. Nephrol Dial Transplant 2011;26:2161-2168.
  8. Garzotto F, Piccinni P, Cruz D, Gramaticopolo S, Dal Santo M, Aneloni G, Kim JC, Rocco M, Alessandri E, Giunta F, Michetti V, Iannuzzi M, Belluomo Anello C, Brienza N, Carlini M, Pelaia P, Gabbanelli V, Ronco C: RIFLE-based data collection/management system applied to a prospective cohort multicenter Italian study on the epidemiology of acute kidney injury in the intensive care unit. Blood Purif 2011;31:159-171.
  9. Goldstein SL, Kirkendall E, Nguyen H, Schaffzin JK, Bucuvalas J, Bracke T, Seid M, Ashby M, Foertmeyer N, Brunner L, Lesko A, Barclay C, Lannon C, Muething S: Electronic health record identification of nephrotoxin exposure and associated acute kidney injury. Pediatrics 2013;132:e756-e767.
  10. Selby NM, Crowley L, Fluck RJ, McIntyre CW, Monaghan J, Lawson N, Kolhe NV: Use of electronic results reporting to diagnose and monitor AKI in hospitalized patients. Clin J Am Soc Nephrol 2012;7:533-540.
  11. Porter CJ, Juurlink I, Bisset LH, Bavakunji R, Mehta RL, Devonald MAJ: A real-time electronic alert to improve detection of acute kidney injury in a large teaching hospital. Nephrol Dial Trans 2014;29:1888-1893.
  12. Wallace K, Mallard AS, Stratton JD, Johnstoh PA, Dickinson S, Parry RG: Use of an electronic alert to identify patients with acute kidney injury. Clin Med (Lond) 2014;14:22-26.
  13. Ahmed A, Vairavan S, Akhoundi A, Wilson G, Chiofolo C, Chbat N, Cartin-Ceba R, Li G, Kashani K: Development and validation of electronic surveillance tool for acute kidney injury: a retrospective analysis. J Crit Care 2015;30:988-993.
  14. Prendecki M, Blacker E, Sadeghi-Alavijeh O, Edwards R, Montgomery H, Gillis S, Harber M: Improving outcomes in patients with acute kidney injury: the impact of hospital based automated AKI alerts. Postgrad Med J 2016;92:9-13.
  15. McCoy AB, Waitman LR, Gadd CS, Danciu I, Smith JP, Lewis JB, Schildcrout JS, Peterson JF: A computerized provider order entry intervention for medication safety during acute kidney injury: a quality improvement report. Am J Kidney Dis 2010;56:832-841.
  16. McCoy AB, Cox ZL, Neal EB, Waitman LR, Peterson NB, Bhave G, Siew ED, Danciu I, Lewis JB, Peterson JF: Real-time pharmacy surveillance and clinical decision support to reduce adverse drug events in acute kidney injury. Appl Clin Inform 2012;3:221-238.
  17. Colpaert K, Hoste EA, Steurbaut K, Benoit D, Van Hoecke S, De Turck F, Decruyenaere J: Impact of real-time electronic alerting of acute kidney injury on therapeutic intervention and progression of RIFLE class. Crit Care Med 2012;40:1164-1170.
  18. Thomas ME, Sitch A, Baharani J, Dowswell G: Earlier intervention for acute kidney injury: evaluation of an outreach service and a long-term follow-up. Nephrol Dial Transplant 2015;30:239-244.
  19. Wilson FP, Shashaty M, Testani J, Aqeel I, Borovskiy Y, Ellenberg SS, Feldman HI, Fernandez H, Gitelman Y, Lin J, Negoianu D, Parikh CR, Reese PP, Urbani R, Fuchs B: Automated, electronic alerts for acute kidney injury: a single-blind, parallel-group, randomised controlled trial. Lancet 2015;385:1966-1974.
  20. Kolhe NV, Staples D, Reilly T, Merrison D, McIntyre CW, Fluck RJ, Selby NM, Taal MW: Impact of compliance with a care bundle on acute kidney injury outcomes: a prospective observational study. PLoS One 2015;10:e0132279.
  21. Sawhney S, Marks A, Ali T, Clark L, Fluck N, Prescott GJ, Simpson WG, Black C: Maximising acute kidney injury alerts - a cross-sectional comparison with the clinical diagnosis. PLoS One 2015;10:e0131909.
  22. Selby NM, Hill R, Fluck RJ; NHS England ‘Think Kidneys' AKI Programme: Standardizing the early identification of acute kidney injury: the NHS England National Patient Safety Alert. Nephron 2015;131:113-117.
  23. Hoste EAJ, Kashani K, Gibney N, Wilson FP, Ronco C, Goldstein SL, Kellum JA, Bagshaw SM, Group AC: Impact of electronic-alerting of acute kidney injury: workgroup statements from the 15th ADQI Consensus Conference. Can J Kidney Health Dis 2016;3:10-10.
  24. James MT, Hobson CE, Darmon M, Mohan S, Hudson D, Goldstein SL, Ronco C, Kellum JA, Bagshaw SM; Acute Dialysis Quality Initiative (ADQI) Consensus Group: Applications for detection of acute kidney injury using electronic medical records and clinical information systems: workgroup statements from the 15th ADQI Consensus Conference. Can J Kidney Health Dis 2016;3:9.
  25. Zavada J, Hoste E, Cartin-Ceba R, Calzavacca P, Gajic O, Clermont G, Bellomo R, Kellum JA: A comparison of three methods to estimate baseline creatinine for RIFLE classification. Nephrol Dial Transplant 2010;25:3911-3918.
  26. Bagshaw SM, Uchino S, Cruz D, Bellomo R, Morimatsu H, Morgera S, Schetz M, Tan I, Bouman C, Macedo E, Gibney N, Tolwani A, Oudemans-van Straaten HM, Ronco C, Kellum JA: A comparison of observed versus estimated baseline creatinine for determination of RIFLE class in patients with acute kidney injury. Nephrol Dial Transplant 2009;24:2739-2744.
  27. Siew ED, Matheny ME, Ikizler TA, Lewis JB, Miller RA, Waitman LR, Go AS, Parikh CR, Peterson JF: Commonly used surrogates for baseline renal function affect the classification and prognosis of acute kidney injury. Kidney Int 2010;77:536-542.
  28. Kesselheim AS, Cresswell K, Phansalkar S, Bates DW, Sheikh A: Clinical decision support systems could be modified to reduce ‘alert fatigue' while still minimizing the risk of litigation. Health Aff (Millwood) 2011;30:2310-2317.
  29. Demner-Fushman D, Chapman WW, McDonald CJ: What can natural language processing do for clinical decision support? J Biomed Inform 2009;42:760-772.
  30. Jensen PB, Jensen LJ, Brunak S: Mining electronic health records: towards better research applications and clinical care. Nat Rev Genet 2012;13:395-405.
  31. Roshanov PS, Fernandes N, Wilczynski JM, Hemens BJ, You JJ, Handler SM, Nieuwlaat R, Souza NM, Beyene J, Spall HGCV, Garg AX, Haynes RB: Features of effective computerised clinical decision support systems: meta-regression of 162 randomised trials. BMJ 2013;346:f657.

Article / Publication Details

First-Page Preview
Abstract of Acute Kidney Injury

Published online: December 12, 2016
Cover Date: 2017

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 2

ISBN: 978-3-318-05928-1 (Print)
eISBN: 978-3-318-05929-8 (Online)

Copyright / Drug Dosage / Disclaimer

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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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