Table 1 Acute kidney injury alerts design and rationale
Design features | Rationale |
|---|---|
Criteria for alert | Change in serum creatinine based on KDIGO criteria, employing the National Health Service England algorithm. The change in creatinine between the reference value (measured in hospital) and the baseline value taken from the prior 7Â days if available, and if not available, then a median of all values from one year prior to the reference value |
Non-interruptive | Alerts are non-interruptive to avoid alert fatigue from multiple disruptive notifications to healthcare providers |
Available to all | Alerts are available to all healthcare providers due to their diverse roles on the units and to allow for a concerted response by the care team for managing AKI |
Alerts deployed at specific locations | The surgical units where the alerts are deployed were chosen based on their high incidence of AKI (identified through preliminary work) and the main initial management responses for AKI related to therapy with fluids and management of medications |