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.

A report summarising the impact and learning from the collaborative can be downloaded here

The learning gained has helped to develop options on how to progress this work across primary and secondary settings. Between September 2019 and August 2020, SPSP will use the learning to:

• revise the driver diagram, change package and measurement plan

• offer continued support to the existing NHS boards who wish to continue to prioritise this work

• enter into a partnership agreement with a clear expectation on reporting of outcome data

• facilitate three further networking events, and

• explore opportunities to embed AKI in the response and review of deteriorating patients.

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

Driver diagram
Measurement plan

  • Acute Kidney Injury

Resources and downloads