Acute Kidney Injury home
Improving measurement and reporting
Improving patient and carer education
Improving quality of care
Improving recognition of AKI
Improving staff awareness and education
National AKI Cluster
AKI reference group
Resources and links
About AKI


​Acute Kidney Injury


Why are we focussing on Acute Kidney Injury?

Acute Kidney Injury (AKI) is a sudden loss of kidney function. AKI may be mild, moderate or severe, but even the mildest cases are associated with an increased risk of death and prolonged hospital admission.  AKI is a common complication affecting up to 20% of patients admitted to hospital as an emergency. AKI may be seen in patients with severe infection, low blood pressure, poor blood flow to the kidneys, medication or other toxicity and bladder diseases. In the majority of cases AKI is not primarily a kidney problem and reflects the severity of a patient’s other underlying problems. In some patients the development or progression of AKI may reflect be predictable or avoidable.

We are working to improve recognition and early steps in the management of AKI. We believe that the number of cases of AKI acquired in hospital length of stay and number of patients dying can be improved.

How are we going to improve care for patients with Acute Kidney Injury over the next two years?


Improve recognition of AKI
We are working with primary care to raise the profile of AKI and to ensure awareness and preparedness for automated identification of cases of AKI. Read more >>>

Improve measurement and reporting

We are developing monthly reporting of inpatient AKI cases to the PSC and renal register, and will publish monthly benchmarking population data. Read more >>>

Improve quality of care
We are enabling providers to share best practice in recognising and treating AKI, auditing all the most severe cases against the best practice standards and providing benchmarking information to identify best practice and areas for improvement.
Read more >>>

Improve patient and carer education

We are working with patients to share best practice AKI patient information across the region. Read more >>>

Improve staff awareness and education
We are going to provide increased educational opportunities for staff from care providers in all healthcare sectors.
Read more >>>

National AKI Cluster
Kent Surrey Sussex Patient Safety Collaborative is leading the work in the Acute Kidney Injury national cluster. Read more >>>

How will we know if we are having an impact?

We expect that our work will lead to more widespread delivery of best practice  and reduction in rates of progression of AKI in hospital and the mortality rate for AKI patients.

We will also see an increase in the percentage of patients with AKI whose discharge information is of high quality.

Find out more about how we are improving measurements of patient safety. 

Who is leading the work?

  • Clinical Lead – Ed Kingdon, Renal Consultant, Brighton and Sussex University Hospitals NHS Trust
  • Director – Tony Kelly, KSS PSC
  • Improvement Manager – Jo Wookey​, KSS PSC

The project team is supported by a reference group made up of staff and patient representatives from across Kent, Surrey and Sussex.  Contact the project team at