Acute Kidney Injury


In 2016 the Scottish Patient Safety Programme (SPSP) completed a 90 day process report to inform content, delivery and direction of future safety work.

Acute Kidney Injury (AKI) was highlighted as an important focus to embed within the existing deteriorating patient workstream.

Harm from AKI is recognised to cut across boundaries and specialties in both primary and secondary care and is associated with high mortality, adverse long term outcomes and increased healthcare costs.

Healthcare Improvement Scotland ran an improvement collaborative between August 2017 and March 2019, across primary care and acute care settings, to test approaches to reduce harm from AKI through improved recognition, response and review.

The following NHS boards worked in collaboration with Healthcare Improvement Scotland to deliver this work: 

  • NHS Fife
  • NHS Grampian
  • NHS Highland
  • NHS Lanarkshire 
  • NHS Lothian 

An evaluation of the work carried out between August 2017 and March 2019 has been completed and will help inform the next steps of the collaborative. 

Acute Kidney Injury Impact and Learning Report

Next Steps

The next stage of this work will continue to build on the learning and success from the outputs of the collaborative.  This will help to develop future approaches for reducing harm to patients from AKI.  

Healthcare Improvement Scotland will work in partnership with the following 3 boards to support their continued improvement work around AKI.  This work will commence in August 2019 until September 2020.

  • NHS Fife
  • NHS Grampian
  • NHS Lanarkshire 

If you would like any further information, please contact the team on   

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