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96 Acute kidney injury: inter-professional collaboration and simulation
  1. Sophie Wilcox,
  2. A Ellner
  1. North Tees and Hartlepool NHS Trust, UK

Abstract

Background Acute kidney injury (AKI) has become a focus for patient safety, both in our Trust and nationally. 100,000 deaths each year in hospital are associated with acute kidney injury; up to 30% could be prevented with the right care and treatment.1 Simulation has been utilised as part of the Trust’s strategy on AKI patient pathway improvement.

Work to date Simulation team has collaborated with a neighbouring Trust to develop our joint AKI Fluid Balance (AKIFB) day, now running regularly. The AKIFB day includes short presentations from a range of faculty (doctors, nurses, pharmacists, clinical biochemists) and simulated scenarios (based on common causes of AKI, for example sepsis and dehydration.) The study day has been attended by a range of healthcare professionals from different specialties and disciplines.

The scenarios developed for the AKIFB day have also been used in an inter-professional training session for Foundation Year doctors (FYs) and pharmacists. FYs were surveyed to identify gaps in their confidence and knowledge, and results were used to inform the sessions plan and learning outcomes.

To further expand, AKI simulation faculty training sessions have also been undertaken: nursing, medical and pharmacy staff have attended ‘refresher’ training in AKI and received an ‘introduction to simulation.’ These staff will now be supported by the simulation team to run AKI ‘simulation in situ’ in their various clinical areas, with scenarios being developed either based on previous serious untoward incidents, or common causes of AKI encountered in their own areas of clinical practice.

Outcomes The AKIFB study day evaluated positively; participants also indicated intentions to change practice (see table.) Pre and post training confidence and knowledge scores will be completed for inter-professional sessions. Finally, Trust audit data before and after all simulation interventions will be compared to evaluate impact on patient care and outcomes.

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Abstract 96 Table 1

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