How Manchester’s Acute Kidney Injury Team (MAKIT) is Driving Improvement
As far back as 2009, a NCEPOD (National Confidential Enquiry into Patient Outcomes and Death) study identified significant deficiencies in the management of Acute Kidney Injury (AKI) in the NHS. By 2014, there was little evidence of improvement.
Central Manchester University Hospitals NHS Foundation Trust (CMFT), one of the leading tertiary care centres in the country, was determined to reduce the impact of AKI on its patients. An audit into the management of 50 of the most severe cases of AKI at Manchester Royal Infirmary showed a lack of reliable systems and processes for detecting and managing the condition. In nearly half of cases (49%), AKI had been missed and for 60% of patients, appropriate fluid management had not been initiated.
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