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Impact of electronic-alerting of acute kidney injury: workgroup statements from the 15(th) ADQI Consensus Conference

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 c...

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Autores principales: Hoste, Eric A. J., Kashani, Kianoush, Gibney, Noel, Wilson, F. Perry, Ronco, Claudio, Goldstein, Stuart L., Kellum, John A., Bagshaw, Sean M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4768416/
https://www.ncbi.nlm.nih.gov/pubmed/26925246
http://dx.doi.org/10.1186/s40697-016-0101-1
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author Hoste, Eric A. J.
Kashani, Kianoush
Gibney, Noel
Wilson, F. Perry
Ronco, Claudio
Goldstein, Stuart L.
Kellum, John A.
Bagshaw, Sean M.
author_facet Hoste, Eric A. J.
Kashani, Kianoush
Gibney, Noel
Wilson, F. Perry
Ronco, Claudio
Goldstein, Stuart L.
Kellum, John A.
Bagshaw, Sean M.
author_sort Hoste, Eric A. J.
collection PubMed
description 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 15(th) 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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spelling pubmed-47684162016-02-27 Impact of electronic-alerting of acute kidney injury: workgroup statements from the 15(th) ADQI Consensus Conference Hoste, Eric A. J. Kashani, Kianoush Gibney, Noel Wilson, F. Perry Ronco, Claudio Goldstein, Stuart L. Kellum, John A. Bagshaw, Sean M. Can J Kidney Health Dis Review 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 15(th) 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. BioMed Central 2016-02-26 /pmc/articles/PMC4768416/ /pubmed/26925246 http://dx.doi.org/10.1186/s40697-016-0101-1 Text en © Hoste et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Review
Hoste, Eric A. J.
Kashani, Kianoush
Gibney, Noel
Wilson, F. Perry
Ronco, Claudio
Goldstein, Stuart L.
Kellum, John A.
Bagshaw, Sean M.
Impact of electronic-alerting of acute kidney injury: workgroup statements from the 15(th) ADQI Consensus Conference
title Impact of electronic-alerting of acute kidney injury: workgroup statements from the 15(th) ADQI Consensus Conference
title_full Impact of electronic-alerting of acute kidney injury: workgroup statements from the 15(th) ADQI Consensus Conference
title_fullStr Impact of electronic-alerting of acute kidney injury: workgroup statements from the 15(th) ADQI Consensus Conference
title_full_unstemmed Impact of electronic-alerting of acute kidney injury: workgroup statements from the 15(th) ADQI Consensus Conference
title_short Impact of electronic-alerting of acute kidney injury: workgroup statements from the 15(th) ADQI Consensus Conference
title_sort impact of electronic-alerting of acute kidney injury: workgroup statements from the 15(th) adqi consensus conference
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4768416/
https://www.ncbi.nlm.nih.gov/pubmed/26925246
http://dx.doi.org/10.1186/s40697-016-0101-1
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