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Impact of electronic-alerting of acute kidney injury: Workgroup statements from the 15<sup>th</sup> ADQI Consensus Conference

Hoste, EAJ and Kashani, K and Gibney, N and Wilson, FP and Ronco, C and Goldstein, SL and Kellum, JA and Bagshaw, SM (2016) Impact of electronic-alerting of acute kidney injury: Workgroup statements from the 15<sup>th</sup> ADQI Consensus Conference. Canadian Journal of Kidney Health and Disease, 3 (1).

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Abstract

© 2016 Hoste et al. Purpose of the review: Among hospitalized patients, acute kidney injury is common and associated with significant morbidity and risk for mortality. The use of electronic health records (EHR) for prediction and detection of this important clinical syndrome has grown in the past decade. The steering committee of the 15th Acute Dialysis Quality Initiative (ADQI) conference dedicated a workgroup with the task of identifying elements that may impact the course of events following Acute Kidney Injury (AKI) e-alert. Sources of information: Following an extensive, non-systematic literature search, we used a modified Delphi process to reach consensus regarding several aspects of the utilization of AKI e-alerts. Findings: Topics discussed in this workgroup included progress in evidence base practices, the characteristics of an optimal e-alert, the measures of efficacy and effectiveness, and finally what responses would be considered best practices following AKI e-alerts. Authors concluded that the current evidence for e-alert system efficacy, although growing, remains insufficient. Technology and human-related factors were found to be crucial elements of any future investigation or implementation of such tools. The group also concluded that implementation of such systems should not be done without a vigorous plan to evaluate the efficacy and effectiveness of e-alerts. Efficacy and effectiveness of e-alerts should be measured by context-specific process and patient outcomes. Finally, the group made several suggestions regarding the clinical decision support that should be considered following successful e-alert implementation. Limitations: This paper reflects the findings of a non-systematic review and expert opinion. Implications: We recommend implementation of the findings of this workgroup report for use of AKI e-alerts.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Hoste, EAJ
Kashani, K
Gibney, N
Wilson, FP
Ronco, C
Goldstein, SL
Kellum, JAkellum@pitt.eduKELLUM0000-0003-1995-2653
Bagshaw, SM
Date: 26 February 2016
Date Type: Publication
Journal or Publication Title: Canadian Journal of Kidney Health and Disease
Volume: 3
Number: 1
DOI or Unique Handle: 10.1186/s40697-016-0101-1
Schools and Programs: School of Medicine > Critical Care Medicine
Refereed: Yes
Article Type: Review
Date Deposited: 22 Aug 2016 18:47
Last Modified: 22 Jun 2019 13:55
URI: http://d-scholarship.pitt.edu/id/eprint/28730

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