Governance reminder
Lazomis QI supports quality improvement planning and documentation. It does not replace clinical judgement, local AKI policy, renal advice, critical care advice, pharmacy advice, professional responsibility or organisational governance processes.
1. Baseline findings summary
Pulled from dashboard where possible.
2. Key problems identified
3. Root cause / contributory factors
People · Process · Environment · IT · Documentation · Communication · Training · Workload
4. Improvement aim
Specific, measurable, achievable, relevant, time-bound
5. Suggested local improvement actions
Editable — framed as local implementation ideas, not national guidance.
| Action | Linked problem | Owner | Target | Status |
|---|---|---|---|---|
| EPR time-critical review task triggered by AKI stage 2 / 3 alert | Delayed clinical review for stage 2 AKI | IT & AKI Committee | 8 weeks | Planned |
| Ward-based pharmacy screening of nephrotoxic / renally cleared medicines on AKI admissions | Medication review not documented | Lead Renal Pharmacist | 6 weeks | In progress |
| Structured senior review checklist for stage 2 / 3 AKI | Variable senior input | Clinical Director | 12 weeks | Planned |
| Standardised AKI discharge bundle with kidney function follow-up plan | Discharge follow-up plan missing | QI Lead | 10 weeks | Not started |
6. PDSA cycle 1
Plan · Do · Study · Act
7. Intervention log
8. Re-audit plan
9. Sustainability plan
10. Learning points
11. Governance summary
12. ARCP / portfolio evidence summary
Populates the ARCP evidence output.
Improvement themes
Common action areas for AKI recognition and management.
AKI recognition and EPR alert response
Timeliness of clinical review by AKI stage
Senior review for stage 2 and 3 AKI
Volume status and fluid management
Urine output monitoring
Urinalysis and obstruction assessment
Renal tract imaging pathway
Medication review and nephrotoxin stewardship
Renal dosing and dose adjustment
Hyperkalaemia management
Sepsis and AKI co-management
Renal referral pathway
Critical care / outreach escalation
AKI discharge bundle and follow-up
Patient advice and kidney health information
Pharmacy-led medication review
Weekend / out-of-hours pathway
Ward-level feedback and sustainability