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.

However, AKI does not have to be inevitable. The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) reported that 20-30% of cases of AKI are both predictable and preventable, estimating as many as 10,000 deaths per annum being avoidable.

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.

Following a national recruitment process, the NHS boards that took part in the collaborative were:

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

Throughout the collaborative, Healthcare Improvement Scotland hosted a number of national events to bring teams together to share learning. The final event was held in April 2019 and invited colleagues from across Scotland to learn from the progress, successes and challenges of those in the collaborative and to consider how to take this work forward. Materials and presentations from the events are available in the menu below.

A report to summarise the impact and learning from the collaborative will be published on the website soon.

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

Driver diagram
Measurement plan

  • Acute Kidney Injury

Resources and downloads