Over the past few years, there has been an increase in Acute Kidney Injury (AKI) in hospitalized children, partly related to patient complexity. Mild degrees of AKI can be easily overlooked, and can still have long-term implications. Consequently identifying it is important.

On February 12, we are launching a hospital-wide intervention to improve awareness of AKI. This includes automated alerting and simple management guidelines (When you see AKI, think AEIOU):

Asses cause of AKI: pre-renal, renal or post-renal

Evaluate drug doses: adjust medications, hold nephrotoxic drugs if not absolutely essential

Intake and output charting

Optimize volume status

Urine Dipstick

A new AKI Powerplan in CIS that incorporates some basic orders will be built and an educational sheet on CHILD will be available here:

Click to access AKI%20Basic%20Information%20Sheet%20for%20Providers.pdf

This is being introduced as a pilot program for now, and decisions to expand will be based on results of the pilot. If you have any questions, please contact Shina Menon at shina.menon@seattlechildrens.org