DEVELOPING AN INTERVENTION TO PREVENT ACUTE KIDNEY INJURY: USING THE PLAN, DO, STUDY, ACT (PDSA) SERVICE IMPROVEMENT APPROACH. Issue 1 (17th September 2014)

• Record Type: Journal Article
• Authors: Byrne, Jo; Xu, Gang; Carr, Sue
• Is Part Of: Journal of renal care. Volume 41:Issue 1(2015:Mar.)
• Page Start: 3
• Page End: 8
• Publication Date: 2014-09-17
• Subjects: Kidneys -- Diseases -- Nursing -- Periodicals; Hemodialysis -- Periodicals; Kidney Diseases -- nursing -- Periodicals; Renal Replacement Therapy -- nursing -- Periodicals; 616.61
• DOI: 10.1111/jorc.12090
• Languages: English
• ISSNs: 1755-6678

Abstract

<abstract abstract-type="main" xml:lang="en"> <title>SUMMARY</title> <sec id="jorc12090-sec-0001" sec-type="section"> <title>Background</title> <p>In the UK, recent National Institute for Health and Care Excellence guidelines for acute kidney injury point to the need for interventions to help prevent this condition. Effective medicines management is of prime importance in reducing the risk of AKI. Part of this challenge is to increase patients' awareness of their medicines and the possible need to temporarily withhold certain medications when acutely unwell.</p> </sec> <sec id="jorc12090-sec-0002" sec-type="section"> <title>Objectives</title> <p>The objectives were to use a service improvement approach (the Plan, Do, Study, Act cycle) to develop an intervention and to evaluate current delivery of acute kidney injury management and to test and generate new ideas relating to patients' needs.</p> </sec> <sec id="jorc12090-sec-0003" sec-type="section"> <title>Design</title> <p>A postal feedback form sent to a random sample of over 200 patients with chronic kidney disease.</p> </sec> <sec id="jorc12090-sec-0004" sec-type="section"> <title>Measurements</title> <p>The feedback form collected information on: what patients know about acute kidney injury and managing medicines; where patients get their information from; whether patients want more information and where from; and what patients feel about self‐managing their medicines.</p> </sec> <sec id="jorc12090-sec-0005" sec-type="section"> <title>Results</title> <p>Completed feedback forms were received from 113 participants. Of these, 92% said they had received no advice, 77% of respondents wanted more advice but only 17% said they would feel comfortable to stop their own medication without medical consent.</p> </sec> <sec id="jorc12090-sec-0006" sec-type="section"> <title>Conclusions</title> <p>The PDSA cycle offered a very useful framework to evaluate the current service delivery and to test and generate new ideas for the development of an AKI intervention. Our findings highlighted that the current service is limited and more robust research is needed.</p> </sec> </abstract>