Workstreams

The development of the algorithm was the starting point for the Think Kidneys programme. Without the algorithm and the ability to detect and report AKI results the changes in practice and behaviour to improve patient safety would not have been possible.

The Detection Workstream recognised from the outset the importance of collaboration and a multidisciplinary approach to the work. An effective working relationship with pathology laboratories’ Local Information Management Supplier (LIMS) companies was developed. This resulted in the LIMS willingness to deliver and roll out innovative software developments for AKI detection. We also established a relationship with the Health and Social Care Information Centre and delivered the Read code for the AKI warning stage test result. Others stakeholders included the Medicines Healthcare Regulatory Agency and GPs with whom we had high level discussions to support the primary care phase for roll out of the AKI warning stage test result.

Think Kidneys National AKI Programme – Review and Evaluation Report contains a timeline of activities which details the sequence of work and events which developed the algorithm and spread its implementation across the NHS path lab information systems. Of importance was the message that the AKI warning stage test result required clinical interpretation.