Think kidneys education event 7th october master slide deck final 071014

Renal Association
Renal AssociationSupporting the Acute Kidney Injury Programme at Renal Association
Are you educating people about
Acute Kidney Injury?
Working together to share experiences and develop
education resources for the future
Education workshop| Version 0.1
7th October 2014 10.00-16.00
Prepared by the Think Kidney team
07.10.2014
PROGRAMME
10.00 Welcome and housekeeping
10.10 Setting the scene
• The AKI National Programme
• Why is education important to AKI?
10.25 AKI Education – maximising learning
11.00 What type of educational resources are available at the moment
12.10 Question Time Panel
12.30 Soapbox – an opportunity for delegates to present their
resources
13.00 Lunch
13.45 Group Work in your clinical perspective
14.55 Feedback from Group Work
15.10 Using social media to reach a wide range of stakeholders
15.40 Closing remarks and next steps
16.00 Close
Setting the scene
10.10 – 10.25
The AKI National Programme and why
education is important to AKI?
Mike Jones
Acute Physician
Royal College of Physicians
National Acute Kidney
Injury
(AKI) Programme
• It is estimated that 1 in 5 emergency admissions
into hospital are associated with AKI (Wang et al,
2012)
• Up to 100,000 deaths in secondary care are
associated with AKI and 1/4 to 1/3 have the
potential to be prevented (National Confidential
Enquiry into Patient Outcome and Death
(NCEPOD) Adding Insult to Injury 2009)
• Not a specialty specific issue - the majority of
cases arise and/or are managed in the community
or across all specialities within secondary care
(Selby et al, 2012).
Acute Kidney Injury
Acute Kidney Injury
Acute Kidney Injury
”One in five emergency admissions to hospital will have
AKI”
"AKI is 100 times more deadly than MRSA infection”
”Around 20 per cent of AKI cases are preventable”
”costs of AKI to the NHS are £434-620m pa”
‘reducing avoidable death, long-term disability and
chronic ill health…’
•VTE prevention: estimate 25,000 deaths pa
Data derived from: Hospital Episode Statistics Annual Report
DoH VTE Prevention Programme 2010 and Selby et al 2012
Incidence of AKI is increasing
Hsu CY et al. Kidney International (2007) 72, 208
* Per 100,000 person years
Hsu RK et al. JASN 2013;24:37-42
* Per million person years
AKI not requiring dialysis Dialysis-requiring AKI
Patients with AKI do not die from
uraemia
41.1%
19.2%
12.9%
17.1%
6.6%
3.1%
Selby NM et al. PLoS ONE 2012; 7(11):
Bi-directional relationship of AKI and CKD
Ishani A et al. JASN 2009; 20: 223–228
233,803 hospitalised patients aged over
67
AKI increased risk of ESKD by 13 fold
Baseline renal
function
Rate ratio for
hospital admission
with AKI*
eGFR >60 1.0
eGFR 45-59.9 2.3
eGFR 30-44.9 5.6
eGFR 15-29.9 13
*non-proteinuric group shown; similar pattern seen across all
levels of proteinuria
James MT et al. Lancet 2010; 376: 2096-2103
1million patients with baseline assessments
of serum creatinine and proteinuria
CKD and proteinuria increase risk of AKI
NCEPOD report published in 2009
 Poor assessment of risk
factors for AKI and acute
illness
 Delays in recognising AKI
 Most patients with AKI are
not cared for by
nephrologists
 Post admission AKI
avoidable in 21%
 ‘Good’ care in <50% cases
Key findings
 Only 50% of AKI care considered good
 Poor assessment of risk factors
 Unacceptable delay in recognition of
post-admission in AKI in 43%
 22 patients died with a primary
diagnosis of post-admission AKI which
was predictable and avoidable
 Complications missed (13%),
avoidable (17%) or badly managed
(22%)
Conclusion
 Systematic failings in AKI
 Failures in:
Recognition and management of AKI
Recognition and management of
complications
Referral and support
 Failures in recognition of the acutely ill
Primary Aim
The primary aim of the National
Programme is to ensure avoidable
harm related to AKI is prevented
in all care settings.
The purpose of the National Programme is to deliver and
implement a structure and tools within three years that will
lead to a fall in the number of preventable episodes of AKI,
and with that a reduction in deaths associated with AKI.
It will lead work on the development of clinical tools,
information and levers and prioritise patient empowerment.
It will utilise commissioning pathways and other clinical
networks.
It will also establish local and national data collection and
audit leading to further safety improvement and target
research towards areas that require elucidation.
Programme Purpose
The primary aim of the National Programme is to ensure avoidable harm
related to AKI is prevented in all care settings. It will aim to do this by:
• Ensuring that a variety of tools and interventions are developed and
implemented to support the prevention, early detection, treatment
and enhanced recovery of patients with AKI.
• Ensuring that patients who develop AKI are appropriately managed to
reduce further deterioration, long term disability and death.
• Ensuring that appropriate education and training programmes are
developed for all health professionals based on best available
evidence.
• Ensuring that commissioners, health care professionals and managers
are aware of the importance and risks of AKI and appropriate local
strategies to reduce the burden of AKI are developed.
Programme Objectives
• Developing a national registry and audit for AKI leading to an
improvement strategy on a national and local basis to reduce
unwarranted variation in care.
• Involving patients and the public in understanding the risk of AKI and
preventative measures through education and appropriate access to
personal information.
• Supporting the development of a commissioning structure to allow
local service configuration to provide quality care to individuals with
AKI.
• Identifying the research agenda for AKI (including basic science, clinical
care and service delivery).
Programme Objectives continued
WellGroup
Acute Kidney Injury Patient
Pathway
AKI National Programme
AtRiskGroup
Diagnosis
Treatment
Recovery
AtRisk+Event
Education Workstream
Formalised Education Publicity Campaign
Core Education Workstream Group
Michael Jones Michael Wise Cat Shaw Nicky Wood
Michelle Timoney Chris Laing Sue Shaw Kathryn Griffith
Claire Scott Karen Thomas Winnie Wade Martin Christian
Pauline Pinkos
AKI Education – maximising learning
10.25 – 11.00
Winnie Wade
Director of Education
Royal College of Physicians
Winnie Wade and David Parry
Royal College of Physicians
AKI Education -
maximising learning
October 2014
Objectives
• Identify factors that affect learning
• Recognise the significance of different
learning styles
• Identify different modes of learning
• Consider the challenges in designing
educational programmes
• Propose solutions to maximise
learning
What comes first – the subject or the
learner?
“Tell me and I forget”
“Show me and I
remember”
“Involve me and I learn”
Quiz
Activity
In pairs, answer the quiz questions on
the handout.
Form a group with 4 people seated near
you.
Reach a consensus on your answers.
Answers to quiz
1. ii
2. iii
3. i
4. ii
5. All of them
6. i
Activity
Maximising learning about AKI –
what are the challenges?
What are the Challenges?
Time
Number of
learners
Change in role
Teacher as ‘expert’
Teacher as ‘facilitator’
Change in role
Teacher as Expert Teacher as Facilitator
Teaching objectives Learning objectives
Telling Listening
Discourage participation Encourage participation
Ask fewer questions Ask a lot of questions
No feedback Constructive feedback
Some people prefer to take in information through:
DOING PICTURES WORDS
CONCRETE ABSTRACT
Learning styles
Learning Styles
• Activists
• Reflectors
• Theorists
• Pragmatists
(Honey and Mumford, 1986)
Adult Learning
• Effective learning environment
• Involve learners – learner-teacher
collaboration
• Learners diagnose own needs
• Learners formulate their learning
objectives
• Develop learner’s skills of critical
reflection
The Educational Cycle
• Assessing the individual’s needs
• Setting educational objectives
• Choosing and using a variety of
methods of teaching and learning
• Assessing that learning has occurred
onlineFace-to-face
Blended
learning
Flexible provision/Flexible delivery
Learning ResourcesLearning Resources
Learning Resources
On-the-job
learning
Learning Resources
Strengths of learning about AKI
on-the-job
• Rich in context and clinical content
• Often 1:1, so more tailored teaching
• Opportunities for active learning,
feedback and role modelling
• Good place to learn clinical skills and
clinical reasoning
• Context of learning matches context
for future practice
Maximising Learning
• Recognise individual learning needs
• Encourage autonomy in learning
• Create a safe, supportive learning
environment
• Encourage self-reflection
• Provide a variety of modes of learning
Train the teachers
Questions?
What type of educational resources
are available at the moment
11.00 – 12.10
AKI: a national learning programme for pharmacy- Sue Shaw,
Advanced Renal Services Pharmacist, Royal Derby Hospitals NHS
Foundation Trust
Engaging health care professionals using electronic learning
resources – Gang Xu, Senior Nephrology Trainee, East Midlands
Deanery
Apps for Education, - Ben Bray, Quality Improvement Fellow,
King's College London
NICE AKI online learning for nurses and healthcare support
workers – Elaine Whitby, Associate Director – Education and
Support, NICE
How Can We Translate Improved Education on AKI into Better
Care For Patients? – Andy Lewington, Consultant Renal
Physician/Honorary Clinical Associate Professor, Director of
Undergraduate Medical Education Leeds Teaching Hospitals Trust
What type of educational resources
are available at the moment
11.00 – 12.10
AKI: a national learning programme for
pharmacy
Sue Shaw
Advanced Renal Services Pharmacist
Royal Derby Hospitals NHS Foundation Trust
Dr Sue Shaw
Advanced Renal
Services Pharmacist,
Royal Derby Hospital
Adrian Coleman, Caroline Ashley,
Claire Morlidge, Emily Horwill, Rania
Betmouni, Renal Pharmacists.
Nick Selby,
Consultant Nephrologist.
Think kidneys education event 7th october master slide deck final 071014
Think kidneys education event 7th october master slide deck final 071014
CPPE learning@lunch
1. Clinical Pharmacist (Pre-reading
materials)
2. Case discussions (Medicines
optimisation in AKI, Contrast-induced
nephropathy, ‘Sick Day Rules’)
Case Three:
• Pankaj Gupta is a 76-year-old male with stage
3 CKD and hypertension. He has presented to
A&E after being unwell with diarrhoea and
vomiting for more than 24 hours.
• DHx: Bendroflumethiazide 2.5mg OM
Ramipril 10mg ON
Simvastatin 40mg ON
Trimethoprim 200mg BD (UTI)
• Good uptake of the programme including at
national pharmacy events
• Linked to national Medicines Optimisation Toolkit
produced by the UK Renal Pharmacy Group
• Supports the Royal Pharmaceutical Society work
for community pharmacists regarding ‘Sick Day’
rules and local CQuin pathfinder project
What type of educational resources
are available at the moment
11.00 – 12.10
Engaging health care professionals using
electronic learning resources
Gang Xu, Senior Nephrology Trainee, East
Midlands Deanery
+
Engaging health
care professional
using electronic
learning
resources…
Improving Outcomes in Acute Kidney Injury
(AKI)through education.
G Xu, R Westacott, R Baines, N Selby, S Carr.
+
 NECEPOD report showing bad data for kidney patients.
+
+
+
+
eLearning….
+
+
http://www.uhl-library.nhs.uk/aki/index.html
+
http://www.uhl-library.nhs.uk/aki/index.html
+
http://www.uhl-library.nhs.uk/aki/index.html
+
http://www.uhl-library.nhs.uk/aki/index.html
+
http://www.uhl-library.nhs.uk/aki/index.html
+
Lectures / Small group session:
 Integrated into established “protected” teaching sessions (Program
expanded)
 Grand round / department meetings.
+
Measure the changes:
 Using TurningPoint software collected data on knowledge
and confidence of clinicians when treating patients with AKI.
 Before and after the educational package was developed and
deployed.
+
What did we find ( n = 319)…
+
Did any one learn anything???
+
Did any one learn anything???
+
MCQ test on AKI knowledge.
+
Still much to be done….
 Low number of doctors used the e-learning tool
 However higher than expected uptake from other health care
professionals.
 Post intervention number of patients with AKI having
documented urine-dip:
+
Summary:
 Better education needed still…
 Electronic resources is a potentially powerful tool
 Engagement remains the key
 Traditional teaching still has a firm place.
+
Thank you for your time…..
What type of educational resources
are available at the moment
11.00 – 12.10
Apps for Education
Ben Bray
Quality Improvement Fellow
King's College London
RCPE AKI App
Outline of project & features
Learning points
Outline
• Funded by NHS Kidney Care
• Produced & owned by RCP Edinburgh
• Content written by clinicians
• Clinical content approved by Renal Association,
RCP Edinburgh & Society of Acute Medicine
• Free for users
• Launched June 2013
• Technical update Sep 2014
Think kidneys education event 7th october master slide deck final 071014
Think kidneys education event 7th october master slide deck final 071014
Think kidneys education event 7th october master slide deck final 071014
Think kidneys education event 7th october master slide deck final 071014
Think kidneys education event 7th october master slide deck final 071014
Think kidneys education event 7th october master slide deck final 071014
Think kidneys education event 7th october master slide deck final 071014
7078 unique users
Global reach
0 10 20 30 40 50 60
Europe
Asia
North America
South America
Middle East
Central America
Africa
Oceania
% active users
0 10 20 30 40 50
iPhone
iPad
Android Phone
Android Tablet
% active users
vs
Learning points
− Expensive & time consuming
− Relationship with developers v important
− Needs commitment to update and maintain
+ Wide reach
+ Democratic & accessible
+ Usage analytics
Download
• Search “AKI app” for RCPE app on iTunes store
or Google Play store
• Search “London AKI app” for London AKI app
on iTunes store
More info:
b.jackson@rcpe.ac.uk [Bryony Jackson]
Me: benjamin.bray@kcl.ac.uk
What type of educational resources
are available at the moment
11.00 – 12.10
NICE AKI online learning for nurses and
healthcare support workers
Elaine Whitby
Associate Director – Education and Support
NICE
NICE AKI online learning for nurses and
healthcare support workers
Elaine Whitby
Oct 2014
Page No. | Date
NICE guidance & e-learning
• August 2013 NICE guideline published: Acute kidney
injury: prevention, detection and management of acute
kidney injury up to the point of renal replacement therapy
• Search for existing e-learning: programmes or modules
for doctors or pharmacists, nil specific to nursing
• Recognition - nurses & healthcare support workers
crucial to identifying risk and early detection
• NICE commissioned e-learning resource
• Published March 2014
Page No. | Date
Aim & objectives
Audience
• Nurses and healthcare support workers
Aim
• The aim of this learning programme is to support nurses and healthcare support workers in all
settings in preventing and identifying AKI.
Learning outcomes for nurses:
• Define AKI
• Recognise and assess patients at risk of AKI
• Recognise and assess signs and symptoms of AKI
• Escalate patients with AKI risk factors, signs or symptoms to medical staff or advanced nurse
practitioner (ANP)
• Support the multidisciplinary team in the management of a patient with AKI in primary or
secondary care
• Support patients and carers throughout the course of their illness and afterwards
Learning outcomes for healthcare support workers:
• Contribute to the assessment of patients at risk of AKI
• Report results to the nurse or doctor responsible for the patient’s care
• Escalate any result that shows positive for blood or protein
• Calculate and record an early warning system (EWS) tracker and urine output (U/O).
• Record and escalate an abnormal EWS tracker or abnormal U/O
Page No. | Date
5 Sections:
• What is AKI and who is at risk?
• How do we recognise and prevent AKI?
• How do we manage AKI?
• How do we support patients and carers?
• Clinical case study
Nurses - all sections
HSWs - section 2
Structure
Think kidneys education event 7th october master slide deck final 071014
Think kidneys education event 7th october master slide deck final 071014
Think kidneys education event 7th october master slide deck final 071014
Think kidneys education event 7th october master slide deck final 071014
Page No. | Date
The story so far
• 1st NICE online learning specifically for nurses
• Evaluation: 669 people enrolled
Qualitative feedback:
• ‘I found the tool extremely useful’
• ‘Great learning resource’
• ‘It was helpful to be able to judge my level of understanding
as I worked through the units’.
• ‘The presentation is interactive and memorable ….flowed
well making it easy to work through’
Problems:
• Monitoring completion
• Obtaining certificates
Page No. | Date
Next steps
Addressing technical issues
Increasing feedback
Widening access: discussions with e-learning for healthcare (e-LfH) to
host the module
Tool access: http://www.nice.org.uk/guidance/cg169/resources
What type of educational resources
are available at the moment
11.00 – 12.10
How Can We Translate Improved Education on
AKI into Better Care For Patients?
Andy Lewington, Consultant Renal Physician /
Honorary Clinical Associate Professor, Director of
Undergraduate Medical Education Leeds
Teaching Hospitals Trust
Acute Kidney Injury: What Taught
Programmes Are Available?
Dr AJP Lewington
Consultant Renal Physician/Honorary Associate Professor
Director of Undergraduate Medical Education
Leeds Teaching Hospitals
Declaration of Interest
• AbbVie – Advisory Board for Melanocortin
therapy for AKI, Honoraria for Lectures
• AM Pharma – Advisory Board and Co Chief
Investigator for Alkaline Phosphatase therapy for
AKI
• Alere – Honoraria for chairing meeting
• Bioporto – Advisory Board for NGAL
• Fresenius – Honoraria for lecture at ICS
• Baxter – Honoraria for lecturing on IV Fluids
Leeds Teaching Hospitals/University of Leeds
Levers
• NCEPOD
– Adding Insult to Injury 2009
• NICE
– AKI CG 169 2013
– AKI Quality Standard 2014
– IV Fluids CG 174 2013
• NHS England
– AKI warning March 2015
Think kidneys education event 7th october master slide deck final 071014
Guidelines need an
implementation strategy
Patient Education?
Undergraduate Medicine
• Identify where renal medicine is taught in
the curriculum and what is covered
– University of Leeds
• 1st Yr – Body Systems
– 10 lectures/3 seminars
• 2nd, 3rd and 5th Yr clinical placements
• RRAPID simulation course
– scenarios with patients developing sepsis, hypovolaemia
and AKI
• Assessment – written and OSCEs
Recognising And Responding To Acute
Patient Illness And Deterioration
ALT Conference 2014, Warwick
S. Bickerdike, L. Smith, A. Dean,
I. Kozieradzka-Ogunmakin, A. Lewington
The RRAPID curriculum spiral
Video
demonstrations
Photographs
Medical
charts
Think kidneys education event 7th october master slide deck final 071014
iPhone app
 New version
 NEWS calculator
 AKI Risk Calculator
 Facilitate transition from student to Foundation Year
iPhone app
The RRAPID eBook and iPhone app
Available in the App Store FREE
or
eBook at rrapid.leeds.ac.uk/ebook
Website rrapid.leeds.ac.uk
Postgraduate Medicine
Primary Care
• Renal Medicine?
• Building a case
• secondary care placements in Renal
Medicine - Leeds
• Target Teaching Days
– Make it relevant
– Link CKD and AKI
– with a GP
– cases
Challenge
Make AKI the remit of ALL GP’s
and General medicine teams
• The greater the number of risk factors an
individual patient has for AKI the greater the
likelihood of AKI being present on admission.
• About 50% of acute medical patients are
taking nephrotoxic medication prior to
admission
Secondary Care
• Local postgraduate programmes
– FY, CMT, StRs, Grand Rounds
– Departmental
• National programmes
– CCrISP – Care of the Critically Ill Surgical
Patients – Royal College of Surgeons
– IMPACT
Conferences - UK
• Royal Society of Medicine
– AKI Frontiers – 26 Sept 2014
• Royal College of Physicians - London
– 28 Oct 2014 – AKI Update
• Renal Association/EDTA - London
– 28/31 May 2015
• British Renal Society
• Royal Free/UCL
– AKI Academy – 18/19 Oct 2014
Conferences - UK
• Yorkshire & Humber AKI Patient Care
Initiative (AKIPCI) – Wakefield
– 17 October 2014
• STOP AKI Study Day – Leeds
– 6 November 2014
• Leeds 2nd Critical Care Nephrology
Conference
– 19 May 2015
Conferences - International
• CRRT – San Diego
– 17-20 Feb 2015
• International Society of Nephrology –
Cape Town
– 13-16 March 2015
• Need an AKI conference calender on AKI
website
Summary
• Need to develop Educational strategy
– covers undergraduate and postgraduate training
• curriculum
• organic
– multiprofessional/interprofessional
– interesting
• link in with sepsis, fluids etc
• link with national programmes
– assessed
– sustainable
Thank You
Question Time Panel
12.10 – 12.30
Panel Members
Sue Shaw, Advanced Renal Services Pharmacist, Royal
Derby Hospitals NHS Foundation Trust
Gang Xu, Senior Nephrology Trainee, East Midlands
Deanery
Ben Bray, Quality Improvement Fellow, King's College
London
Elaine Whitby, Associate Director – Education and
Support, NICE
Andy Lewington, Consultant Renal Physician/Honorary
Clinical Associate Professor, Director of Undergraduate
Medical Education Leeds Teaching Hospitals Trust
Soap Box Session
12.10 – 12.30
An opportunity for delegates to present their
resources in a rapid fire session where each
presenter will be allowed 2 minutes to present
their resource
Kathryn Griffith
General Practitioner
Royal College of General Practitioners
Reverse Brainstorming
How to Damage Marjory’s Kidneys
Kathryn E Griffith
Clinical Champion for Kidney Care
Royal College of General Practitioners
Causes of AKI
Exposures Susceptibilities
Sepsis Dehydration or volume depletion
Critical illness Advanced age
Circulatory shock Female gender
Burns Black race
Trauma CKD
Cardiac surgery especially
bypass
Chronic heart, lung or liver
disease
Major surgery Diabetes mellitus
Nephrotoxic drugs Cancer
Radiocontrast agents Anaemia
Poisonous plants and animals
Marjory Aged 88 Group1
• Marjory lives
alone and enjoys
life
• What can she do
to damage her
kidneys?
How to Damage Marjory’s Kidneys
Group 1: Age 88 what can she do?
Group 2: BP 170/90 what can you do?
Group 3: Dysuria and frequency what can
you do?
Group 4: AMI What can the Cardiologist do?
Group 5: Heart Failure ramipril and
eplerenone what can you do?
Potential causes of AKI
Exposures Susceptibilities
Sepsis Dehydration or volume depletion
Critical illness Advanced age
Circulatory shock Female gender
Burns Black race
Trauma CKD
Cardiac surgery especially
bypass
Chronic heart, lung or liver
disease
Major surgery Diabetes mellitus
Nephrotoxic drugs Cancer
Radiocontrast agents Anaemia
Poisonous plants and animals Care of Cardiolgist !!
Thank you for looking after me!
AKI (NH6179) module
Ferdinand Bravo
(Ferdinand.Bravo@bsuh.nhs.uk)
Renal pathway – Module leader
Sussex Kidney Unit/University of Brighton
AKI (NH6179) module
• 20 credit, level 6 (degree level) post graduate
nursing module.
• Part of renal pathway course.
• Can be taken as a stand alone module or part to
complete
• Acute care in professional practice (BSc-hons) or
Post graduate in acute care in professional
practice.
AKI (NH6179) module
Pre-requisite:
• Applicable to health care professionals in
all areas of care with at least one year’s
experience in practice.
AKI (NH6179) module
Brief description of module content:
• This module will enable the student to
develop understanding of AKI disease
process and critically explore the
preventive and therapeutic management
within the sphere of practice.
AKI (NH6179) module
Teaching and Assessment:
• Blended learning
• Case presentation/PBL
• OSCE – assessment of renal functions
• 2500 word case study on AKI management with
focus on prevention.
Lunch
13.00 – 13.45
Group Work in your clinical
perspective
13.45 - 14.55
Instructions
We have set a series of questions for each of the 5 groups
to answer. The questions can be found in your group.
Your name badge has the number of your group on it to
indicate which group you should go to. A facilitator will
be in your group to guide you through the process and to
ensure you prepare a 2 minute highlight presentation to
feedback to the whole group. You will find templates and
pens in your groups.
You have 1 hour and 10 minutes allocated for this group
work.
Group Work
• Group 1 – Facilitator Mike Jones
• Group 2 – Facilitator Peter Hewins
• Group 3 – Facilitator Claire Stocks
• Group 4 – Facilitator Elaine Whitby
• Group 5 – Facilitators Annie Taylor/Richard Hull
• Group 6 – Facilitator Kathryn Griffith
Group Work QuestionsGroups 1-4 Group 5 Group 6
What educational resources are
missing for our profession in respect
of AKI?
What educational resources are
missing for health and care
professionals in respect of AKI?
What educational resources are missing
for our profession in respect of AKI?
What is the best medium for
education in our profession? What
resources are required?
What is the best medium for
education about AKI across the
NHS?
What is the best medium for education in
our profession? What resources are
required?
Where do you think education is
most needed? Which groups should
we target for the most impact?
Where do you think education is
most needed? Which groups should
we target for the most impact?
Where do you think education is most
needed? Which groups should we target
for the most impact?
What are the main impediments to
training for our profession?
What are the main impediments to
training for improvement agents,
managers and others (non-
clinicians) in the NHS?
What are the main impediments to
training for our profession?
How can the AKI National
Programme help the professionals
in your locality?
How can the AKI National
Programme help you and your
professional colleagues learn about
AKI?
How can the AKI National Programme
help the professionals in your locality?
What material currently exists to help
GPs explain AKI and risk to patients, how
useful is it and what else is needed?
From the patient’s perspective what
information is needed and in what
format?
Feedback from Group Work
14.55 – 15.10
• 2 minutes feedback from each group
Using social media to reach a wide
range of stakeholders
15.10 – 15.40
Amy Burton
Social Media Executive
Diabetes UK
Closing remarks and next steps
15.40 – 16.00
Mike Jones
Acute Physician
Royal College of Physicians
How to find out more
Karen Thomas
Think Kidneys Programme Manager
UK Renal Registry
Karen.Thomas@renalregistry.nhs.uk
Teresa Wallace
Think Kidneys Programme Coordinator
UK Renal Registry
Teresajane.Wallace@renalregistry.nhs.uk
28.11.2014Acute Kidney Injury National Programme | Introducing the Think Kidneys campaign | Karen Thomas |
145
Contact Think Kidneys
Richard Fluck
National Clinical Director for Renal
NHS England
Richard.fluck@nhs.net
Joan Russell
Head of Patient Safety
NHS England
Joan.russell@nhs.net
Ron Cullen
Director
UK Renal Registry
Ron.cullen@renalregistry.nhs.uk
www.linkedin.com/company/think-kidneys
www.twitter.com/ThinkKidneys
www.facebook.com/thinkkidneys
www.youtube.com/user/thinkkidneys
www.slideshare.net/ThinkKidneys
www.thinkkidneys.nhs.uk
1 of 145

Recommended

NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 2 by
NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 2NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 2
NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 2CLAHRC-NDL
942 views163 slides
Think kidneys strategic clinical network webinar final - 111214 by
Think kidneys   strategic clinical network webinar final - 111214Think kidneys   strategic clinical network webinar final - 111214
Think kidneys strategic clinical network webinar final - 111214Renal Association
568 views22 slides
AHSN NENC Stakeholder Engagement Event, 11th February 2014: Presentation slides by
AHSN NENC Stakeholder Engagement Event, 11th February 2014: Presentation slidesAHSN NENC Stakeholder Engagement Event, 11th February 2014: Presentation slides
AHSN NENC Stakeholder Engagement Event, 11th February 2014: Presentation slidesNEQOS
1.1K views63 slides
Sir Muir Gray - CLAHRC East Midlands launch event by
Sir Muir Gray - CLAHRC East Midlands launch eventSir Muir Gray - CLAHRC East Midlands launch event
Sir Muir Gray - CLAHRC East Midlands launch eventCLAHRC-NDL
1.9K views36 slides
NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 1 by
NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 1NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 1
NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 1CLAHRC-NDL
1.2K views223 slides
Professor Richard Morriss - Enhancing Mental Health by
Professor Richard Morriss - Enhancing Mental HealthProfessor Richard Morriss - Enhancing Mental Health
Professor Richard Morriss - Enhancing Mental HealthCLAHRC-NDL
1.5K views11 slides

More Related Content

What's hot

Adrian Edwards - PRIME Social Care Consensus Meeting 20151005 by
Adrian Edwards - PRIME Social Care Consensus Meeting 20151005Adrian Edwards - PRIME Social Care Consensus Meeting 20151005
Adrian Edwards - PRIME Social Care Consensus Meeting 20151005angewatkins
814 views19 slides
Tier 4 review 2 years on - plenary session by
Tier 4 review 2 years on -  plenary sessionTier 4 review 2 years on -  plenary session
Tier 4 review 2 years on - plenary sessionCYP MH
963 views26 slides
Professor Kamlesh Khunti - Introduction to CLAHRC East Midlands by
Professor Kamlesh Khunti - Introduction to CLAHRC East MidlandsProfessor Kamlesh Khunti - Introduction to CLAHRC East Midlands
Professor Kamlesh Khunti - Introduction to CLAHRC East MidlandsCLAHRC-NDL
1.4K views25 slides
Professor Kamlesh Khunti - Prevention of Chronic Disease by
Professor Kamlesh Khunti - Prevention of Chronic DiseaseProfessor Kamlesh Khunti - Prevention of Chronic Disease
Professor Kamlesh Khunti - Prevention of Chronic DiseaseCLAHRC-NDL
1.4K views20 slides
Innovative health and social care systems: What the CARE Model means for Work... by
Innovative health and social care systems: What the CARE Model means for Work...Innovative health and social care systems: What the CARE Model means for Work...
Innovative health and social care systems: What the CARE Model means for Work...Sarah Crick
79 views29 slides
7 mach 12.20 exploring global issues wendy nicholson by
7 mach 12.20 exploring global issues wendy nicholson7 mach 12.20 exploring global issues wendy nicholson
7 mach 12.20 exploring global issues wendy nicholsonNHS England
147 views12 slides

What's hot(20)

Adrian Edwards - PRIME Social Care Consensus Meeting 20151005 by angewatkins
Adrian Edwards - PRIME Social Care Consensus Meeting 20151005Adrian Edwards - PRIME Social Care Consensus Meeting 20151005
Adrian Edwards - PRIME Social Care Consensus Meeting 20151005
angewatkins814 views
Tier 4 review 2 years on - plenary session by CYP MH
Tier 4 review 2 years on -  plenary sessionTier 4 review 2 years on -  plenary session
Tier 4 review 2 years on - plenary session
CYP MH963 views
Professor Kamlesh Khunti - Introduction to CLAHRC East Midlands by CLAHRC-NDL
Professor Kamlesh Khunti - Introduction to CLAHRC East MidlandsProfessor Kamlesh Khunti - Introduction to CLAHRC East Midlands
Professor Kamlesh Khunti - Introduction to CLAHRC East Midlands
CLAHRC-NDL1.4K views
Professor Kamlesh Khunti - Prevention of Chronic Disease by CLAHRC-NDL
Professor Kamlesh Khunti - Prevention of Chronic DiseaseProfessor Kamlesh Khunti - Prevention of Chronic Disease
Professor Kamlesh Khunti - Prevention of Chronic Disease
CLAHRC-NDL1.4K views
Innovative health and social care systems: What the CARE Model means for Work... by Sarah Crick
Innovative health and social care systems: What the CARE Model means for Work...Innovative health and social care systems: What the CARE Model means for Work...
Innovative health and social care systems: What the CARE Model means for Work...
Sarah Crick79 views
7 mach 12.20 exploring global issues wendy nicholson by NHS England
7 mach 12.20 exploring global issues wendy nicholson7 mach 12.20 exploring global issues wendy nicholson
7 mach 12.20 exploring global issues wendy nicholson
NHS England147 views
APA 2015_LM Brady involving cyp in research_03.15 by Louca-Mai Brady
APA 2015_LM Brady involving cyp in research_03.15APA 2015_LM Brady involving cyp in research_03.15
APA 2015_LM Brady involving cyp in research_03.15
Louca-Mai Brady421 views
Simon Denegri - Public involvement in CLAHRCs by CLAHRC-NDL
Simon Denegri  - Public involvement in CLAHRCsSimon Denegri  - Public involvement in CLAHRCs
Simon Denegri - Public involvement in CLAHRCs
CLAHRC-NDL1.4K views
Professor Mike Cooke, CLAHRC East Midlands launch welcome by CLAHRC-NDL
Professor Mike Cooke, CLAHRC East Midlands launch welcomeProfessor Mike Cooke, CLAHRC East Midlands launch welcome
Professor Mike Cooke, CLAHRC East Midlands launch welcome
CLAHRC-NDL1K views
Professor Justin Waring - Implementing evidence and improvement by CLAHRC-NDL
Professor Justin Waring - Implementing evidence and improvementProfessor Justin Waring - Implementing evidence and improvement
Professor Justin Waring - Implementing evidence and improvement
CLAHRC-NDL1.2K views
EMRAN Launch Event February 2015 by CCraig138
EMRAN Launch Event February 2015EMRAN Launch Event February 2015
EMRAN Launch Event February 2015
CCraig138299 views
Running Horse Group - Event Outcomes (25th May 2018) by Damian Roland
Running Horse Group - Event Outcomes (25th May 2018) Running Horse Group - Event Outcomes (25th May 2018)
Running Horse Group - Event Outcomes (25th May 2018)
Damian Roland397 views
Making Seven Day Services a reality, pop up uni, 2 pm, 3 september 2015 by NHS England
Making Seven Day Services a reality, pop up uni, 2 pm, 3 september 2015Making Seven Day Services a reality, pop up uni, 2 pm, 3 september 2015
Making Seven Day Services a reality, pop up uni, 2 pm, 3 september 2015
NHS England451 views
Survey of Early adopter steering committee members by Nuffield Trust
Survey of Early adopter steering committee members Survey of Early adopter steering committee members
Survey of Early adopter steering committee members
Nuffield Trust915 views
Commissioning Integrated models of care 160211 slides by NHS Improving Quality
Commissioning Integrated models of care 160211 slidesCommissioning Integrated models of care 160211 slides
Commissioning Integrated models of care 160211 slides

Similar to Think kidneys education event 7th october master slide deck final 071014

Va presentation. residency training for primary care n ps. seattle, septembe... by
Va presentation.  residency training for primary care n ps. seattle, septembe...Va presentation.  residency training for primary care n ps. seattle, septembe...
Va presentation. residency training for primary care n ps. seattle, septembe...CHC Connecticut
1.1K views32 slides
Elevator-National-Educational-Needs-Analysis-Report-Print-Version by
Elevator-National-Educational-Needs-Analysis-Report-Print-VersionElevator-National-Educational-Needs-Analysis-Report-Print-Version
Elevator-National-Educational-Needs-Analysis-Report-Print-VersionSophia Kilcullen
293 views104 slides
Safety, Quality and Patient Experience Programme (SQE) by
Safety, Quality and Patient Experience Programme (SQE)Safety, Quality and Patient Experience Programme (SQE)
Safety, Quality and Patient Experience Programme (SQE)Steven Kinnear
947 views14 slides
iSPACE Summary Report April 2015 by
iSPACE Summary Report April 2015iSPACE Summary Report April 2015
iSPACE Summary Report April 2015Health Innovation Wessex
198 views24 slides
Jane Murkin and Joanne Matthews collaborative launch by
Jane Murkin and Joanne Matthews collaborative launchJane Murkin and Joanne Matthews collaborative launch
Jane Murkin and Joanne Matthews collaborative launchNHS Improving Quality
2.7K views51 slides
Patient safety collaboratives by
Patient safety collaborativesPatient safety collaboratives
Patient safety collaborativesNHS Improving Quality
1.1K views34 slides

Similar to Think kidneys education event 7th october master slide deck final 071014(20)

Va presentation. residency training for primary care n ps. seattle, septembe... by CHC Connecticut
Va presentation.  residency training for primary care n ps. seattle, septembe...Va presentation.  residency training for primary care n ps. seattle, septembe...
Va presentation. residency training for primary care n ps. seattle, septembe...
CHC Connecticut1.1K views
Elevator-National-Educational-Needs-Analysis-Report-Print-Version by Sophia Kilcullen
Elevator-National-Educational-Needs-Analysis-Report-Print-VersionElevator-National-Educational-Needs-Analysis-Report-Print-Version
Elevator-National-Educational-Needs-Analysis-Report-Print-Version
Sophia Kilcullen293 views
Safety, Quality and Patient Experience Programme (SQE) by Steven Kinnear
Safety, Quality and Patient Experience Programme (SQE)Safety, Quality and Patient Experience Programme (SQE)
Safety, Quality and Patient Experience Programme (SQE)
Steven Kinnear947 views
NHS Quality conference - Sarah Tilford by Alexis May
NHS Quality conference - Sarah TilfordNHS Quality conference - Sarah Tilford
NHS Quality conference - Sarah Tilford
Alexis May635 views
UTI collaborative 28th June 2018 presentations by NHS Improvement
UTI collaborative 28th June 2018  presentations   UTI collaborative 28th June 2018  presentations
UTI collaborative 28th June 2018 presentations
NHS Improvement1.4K views
Nice Fellows and Scholars scheme (Nov 14) by NEQOS
Nice Fellows and Scholars scheme (Nov 14)Nice Fellows and Scholars scheme (Nov 14)
Nice Fellows and Scholars scheme (Nov 14)
NEQOS336 views
Research to Guide Practice: Enhancing HIV/AIDs Platforms to Address NCDs in L... by CORE Group
Research to Guide Practice: Enhancing HIV/AIDs Platforms to Address NCDs in L...Research to Guide Practice: Enhancing HIV/AIDs Platforms to Address NCDs in L...
Research to Guide Practice: Enhancing HIV/AIDs Platforms to Address NCDs in L...
CORE Group428 views
136 muster 2014 Couper by Muster2014
136 muster 2014 Couper136 muster 2014 Couper
136 muster 2014 Couper
Muster2014330 views
Workforce Healthcare'14 by Zane Tarek
Workforce Healthcare'14Workforce Healthcare'14
Workforce Healthcare'14
Zane Tarek258 views
Improving acute care for children and young people, pop up uni, 10am, 3 septe... by NHS England
Improving acute care for children and young people, pop up uni, 10am, 3 septe...Improving acute care for children and young people, pop up uni, 10am, 3 septe...
Improving acute care for children and young people, pop up uni, 10am, 3 septe...
NHS England359 views
Impact of decentralization on immunization services in kenya by JSI
Impact of decentralization on immunization services in kenyaImpact of decentralization on immunization services in kenya
Impact of decentralization on immunization services in kenya
JSI 1.5K views
Responding to Non COVID-19: Identification of deterioration in children by Innovation Agency
Responding to Non COVID-19: Identification of deterioration in childrenResponding to Non COVID-19: Identification of deterioration in children
Responding to Non COVID-19: Identification of deterioration in children
Innovation Agency121 views
95 muster2014 Dean Doyle by Muster2014
95 muster2014 Dean Doyle95 muster2014 Dean Doyle
95 muster2014 Dean Doyle
Muster2014654 views

More from Renal Association

Undergraduate nurses year three FINAL reviewed October 2020 by
Undergraduate nurses year three FINAL reviewed October 2020Undergraduate nurses year three FINAL reviewed October 2020
Undergraduate nurses year three FINAL reviewed October 2020Renal Association
349 views43 slides
Year One Undergraduate Nurses AKI Education UPDATED 2020 by
Year One Undergraduate Nurses AKI Education UPDATED 2020Year One Undergraduate Nurses AKI Education UPDATED 2020
Year One Undergraduate Nurses AKI Education UPDATED 2020Renal Association
190 views24 slides
Palliative care in ESRD an overview RA platform powerpoint with audio by
Palliative care in ESRD  an overview RA platform powerpoint with audio Palliative care in ESRD  an overview RA platform powerpoint with audio
Palliative care in ESRD an overview RA platform powerpoint with audio Renal Association
805 views43 slides
Oxford and Thames Valley Region KQuIP day 2018 MAGIC project by
Oxford and Thames Valley Region KQuIP day 2018 MAGIC projectOxford and Thames Valley Region KQuIP day 2018 MAGIC project
Oxford and Thames Valley Region KQuIP day 2018 MAGIC projectRenal Association
299 views10 slides
Oxford and Thames Valley Region KQuIP day 2018 Vascular Access Data by
Oxford and Thames Valley Region KQuIP day 2018 Vascular Access DataOxford and Thames Valley Region KQuIP day 2018 Vascular Access Data
Oxford and Thames Valley Region KQuIP day 2018 Vascular Access DataRenal Association
111 views11 slides
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies Project by
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies ProjectOxford and Thames Valley Region KQuIP day 2018 Home Therapies Project
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies ProjectRenal Association
100 views13 slides

More from Renal Association(20)

Undergraduate nurses year three FINAL reviewed October 2020 by Renal Association
Undergraduate nurses year three FINAL reviewed October 2020Undergraduate nurses year three FINAL reviewed October 2020
Undergraduate nurses year three FINAL reviewed October 2020
Renal Association349 views
Year One Undergraduate Nurses AKI Education UPDATED 2020 by Renal Association
Year One Undergraduate Nurses AKI Education UPDATED 2020Year One Undergraduate Nurses AKI Education UPDATED 2020
Year One Undergraduate Nurses AKI Education UPDATED 2020
Renal Association190 views
Palliative care in ESRD an overview RA platform powerpoint with audio by Renal Association
Palliative care in ESRD  an overview RA platform powerpoint with audio Palliative care in ESRD  an overview RA platform powerpoint with audio
Palliative care in ESRD an overview RA platform powerpoint with audio
Renal Association805 views
Oxford and Thames Valley Region KQuIP day 2018 MAGIC project by Renal Association
Oxford and Thames Valley Region KQuIP day 2018 MAGIC projectOxford and Thames Valley Region KQuIP day 2018 MAGIC project
Oxford and Thames Valley Region KQuIP day 2018 MAGIC project
Renal Association299 views
Oxford and Thames Valley Region KQuIP day 2018 Vascular Access Data by Renal Association
Oxford and Thames Valley Region KQuIP day 2018 Vascular Access DataOxford and Thames Valley Region KQuIP day 2018 Vascular Access Data
Oxford and Thames Valley Region KQuIP day 2018 Vascular Access Data
Renal Association111 views
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies Project by Renal Association
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies ProjectOxford and Thames Valley Region KQuIP day 2018 Home Therapies Project
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies Project
Renal Association100 views
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies Data by Renal Association
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies DataOxford and Thames Valley Region KQuIP day 2018 Home Therapies Data
Oxford and Thames Valley Region KQuIP day 2018 Home Therapies Data
Oxford and Thames Valley Region KQuIP day 2018 LKD by Renal Association
Oxford and Thames Valley Region KQuIP day 2018 LKDOxford and Thames Valley Region KQuIP day 2018 LKD
Oxford and Thames Valley Region KQuIP day 2018 LKD
Renal Association112 views
Oxford and Thames Valley Region KQuIP day 2018 Transplant First by Renal Association
Oxford and Thames Valley Region KQuIP day 2018 Transplant FirstOxford and Thames Valley Region KQuIP day 2018 Transplant First
Oxford and Thames Valley Region KQuIP day 2018 Transplant First
Renal Association102 views
KQuIP presentation Yorks & Humber regional day 060717 by Renal Association
KQuIP presentation Yorks & Humber regional day 060717KQuIP presentation Yorks & Humber regional day 060717
KQuIP presentation Yorks & Humber regional day 060717
Renal Association218 views
Patient reported experience presentation by Renal Association
Patient reported experience presentationPatient reported experience presentation
Patient reported experience presentation
Renal Association486 views

Recently uploaded

Renal cell carcinoma- non clear cell.pptx by
Renal cell carcinoma- non clear cell.pptxRenal cell carcinoma- non clear cell.pptx
Renal cell carcinoma- non clear cell.pptxDr. Sumit KUMAR
10 views41 slides
World AIDS Day by
World AIDS DayWorld AIDS Day
World AIDS DayDr Safehands
12 views13 slides
AI in Healthcare SKH 25 Nov 23 by
AI in Healthcare SKH 25 Nov 23AI in Healthcare SKH 25 Nov 23
AI in Healthcare SKH 25 Nov 23Vaikunthan Rajaratnam
37 views140 slides
Amblyopia.ppt by
Amblyopia.pptAmblyopia.ppt
Amblyopia.pptmahendra singh
6 views64 slides
Whole Egg Powder Manufacturing Plant Project Report 2024 by
Whole Egg Powder Manufacturing Plant Project Report 2024Whole Egg Powder Manufacturing Plant Project Report 2024
Whole Egg Powder Manufacturing Plant Project Report 2024AlinaEllis1
11 views16 slides
Paper Napkin Manufacturing Plant Project Report 2024 by
Paper Napkin Manufacturing Plant Project Report 2024Paper Napkin Manufacturing Plant Project Report 2024
Paper Napkin Manufacturing Plant Project Report 2024AlinaEllis1
5 views16 slides

Recently uploaded(20)

Renal cell carcinoma- non clear cell.pptx by Dr. Sumit KUMAR
Renal cell carcinoma- non clear cell.pptxRenal cell carcinoma- non clear cell.pptx
Renal cell carcinoma- non clear cell.pptx
Dr. Sumit KUMAR10 views
Whole Egg Powder Manufacturing Plant Project Report 2024 by AlinaEllis1
Whole Egg Powder Manufacturing Plant Project Report 2024Whole Egg Powder Manufacturing Plant Project Report 2024
Whole Egg Powder Manufacturing Plant Project Report 2024
AlinaEllis111 views
Paper Napkin Manufacturing Plant Project Report 2024 by AlinaEllis1
Paper Napkin Manufacturing Plant Project Report 2024Paper Napkin Manufacturing Plant Project Report 2024
Paper Napkin Manufacturing Plant Project Report 2024
AlinaEllis15 views
Telecounselling-Manual.pdf by manali9054
Telecounselling-Manual.pdfTelecounselling-Manual.pdf
Telecounselling-Manual.pdf
manali905413 views
2024 Medicare Physician Fee Schedule (MPFS) Final Rule Updates by Health Catalyst
2024 Medicare Physician Fee Schedule (MPFS) Final Rule Updates2024 Medicare Physician Fee Schedule (MPFS) Final Rule Updates
2024 Medicare Physician Fee Schedule (MPFS) Final Rule Updates
Health Catalyst109 views
Evovitality Revolutionizing Wellness for a Better Tomorrow.pdf by muhammadtahirbhutto9
Evovitality Revolutionizing Wellness for a Better Tomorrow.pdfEvovitality Revolutionizing Wellness for a Better Tomorrow.pdf
Evovitality Revolutionizing Wellness for a Better Tomorrow.pdf
Bubble Tea Manufacturing Plant Project Report 2024 by AlinaEllis1
Bubble Tea Manufacturing Plant Project Report 2024Bubble Tea Manufacturing Plant Project Report 2024
Bubble Tea Manufacturing Plant Project Report 2024
AlinaEllis19 views
What's Next for OPPS: A Look at the 2024 Final Rule by Health Catalyst
What's Next for OPPS: A Look at the 2024 Final RuleWhat's Next for OPPS: A Look at the 2024 Final Rule
What's Next for OPPS: A Look at the 2024 Final Rule
Health Catalyst240 views
FROSTBITE by A Y
FROSTBITE FROSTBITE
FROSTBITE
A Y6 views
NURSING IS AN ART AND SCIENCE.pptx by Krishna Gandhi
NURSING IS AN ART AND SCIENCE.pptxNURSING IS AN ART AND SCIENCE.pptx
NURSING IS AN ART AND SCIENCE.pptx
Krishna Gandhi8 views
Fluid Administration Nursing Consideration.pptx by RESHMA TIRUPATI
Fluid Administration Nursing Consideration.pptxFluid Administration Nursing Consideration.pptx
Fluid Administration Nursing Consideration.pptx
RESHMA TIRUPATI5 views
New Microsoft Word Document (2).docx by ElyaGhiasyan
New Microsoft Word Document (2).docxNew Microsoft Word Document (2).docx
New Microsoft Word Document (2).docx
ElyaGhiasyan10 views

Think kidneys education event 7th october master slide deck final 071014

  • 1. Are you educating people about Acute Kidney Injury? Working together to share experiences and develop education resources for the future Education workshop| Version 0.1 7th October 2014 10.00-16.00 Prepared by the Think Kidney team 07.10.2014
  • 2. PROGRAMME 10.00 Welcome and housekeeping 10.10 Setting the scene • The AKI National Programme • Why is education important to AKI? 10.25 AKI Education – maximising learning 11.00 What type of educational resources are available at the moment 12.10 Question Time Panel 12.30 Soapbox – an opportunity for delegates to present their resources 13.00 Lunch 13.45 Group Work in your clinical perspective 14.55 Feedback from Group Work 15.10 Using social media to reach a wide range of stakeholders 15.40 Closing remarks and next steps 16.00 Close
  • 3. Setting the scene 10.10 – 10.25 The AKI National Programme and why education is important to AKI? Mike Jones Acute Physician Royal College of Physicians
  • 5. • It is estimated that 1 in 5 emergency admissions into hospital are associated with AKI (Wang et al, 2012) • Up to 100,000 deaths in secondary care are associated with AKI and 1/4 to 1/3 have the potential to be prevented (National Confidential Enquiry into Patient Outcome and Death (NCEPOD) Adding Insult to Injury 2009) • Not a specialty specific issue - the majority of cases arise and/or are managed in the community or across all specialities within secondary care (Selby et al, 2012). Acute Kidney Injury
  • 8. ”One in five emergency admissions to hospital will have AKI” "AKI is 100 times more deadly than MRSA infection” ”Around 20 per cent of AKI cases are preventable” ”costs of AKI to the NHS are £434-620m pa”
  • 9. ‘reducing avoidable death, long-term disability and chronic ill health…’ •VTE prevention: estimate 25,000 deaths pa Data derived from: Hospital Episode Statistics Annual Report DoH VTE Prevention Programme 2010 and Selby et al 2012
  • 10. Incidence of AKI is increasing Hsu CY et al. Kidney International (2007) 72, 208 * Per 100,000 person years Hsu RK et al. JASN 2013;24:37-42 * Per million person years AKI not requiring dialysis Dialysis-requiring AKI
  • 11. Patients with AKI do not die from uraemia 41.1% 19.2% 12.9% 17.1% 6.6% 3.1% Selby NM et al. PLoS ONE 2012; 7(11):
  • 12. Bi-directional relationship of AKI and CKD Ishani A et al. JASN 2009; 20: 223–228 233,803 hospitalised patients aged over 67 AKI increased risk of ESKD by 13 fold Baseline renal function Rate ratio for hospital admission with AKI* eGFR >60 1.0 eGFR 45-59.9 2.3 eGFR 30-44.9 5.6 eGFR 15-29.9 13 *non-proteinuric group shown; similar pattern seen across all levels of proteinuria James MT et al. Lancet 2010; 376: 2096-2103 1million patients with baseline assessments of serum creatinine and proteinuria CKD and proteinuria increase risk of AKI
  • 13. NCEPOD report published in 2009  Poor assessment of risk factors for AKI and acute illness  Delays in recognising AKI  Most patients with AKI are not cared for by nephrologists  Post admission AKI avoidable in 21%  ‘Good’ care in <50% cases
  • 14. Key findings  Only 50% of AKI care considered good  Poor assessment of risk factors  Unacceptable delay in recognition of post-admission in AKI in 43%  22 patients died with a primary diagnosis of post-admission AKI which was predictable and avoidable  Complications missed (13%), avoidable (17%) or badly managed (22%)
  • 15. Conclusion  Systematic failings in AKI  Failures in: Recognition and management of AKI Recognition and management of complications Referral and support  Failures in recognition of the acutely ill
  • 16. Primary Aim The primary aim of the National Programme is to ensure avoidable harm related to AKI is prevented in all care settings.
  • 17. The purpose of the National Programme is to deliver and implement a structure and tools within three years that will lead to a fall in the number of preventable episodes of AKI, and with that a reduction in deaths associated with AKI. It will lead work on the development of clinical tools, information and levers and prioritise patient empowerment. It will utilise commissioning pathways and other clinical networks. It will also establish local and national data collection and audit leading to further safety improvement and target research towards areas that require elucidation. Programme Purpose
  • 18. The primary aim of the National Programme is to ensure avoidable harm related to AKI is prevented in all care settings. It will aim to do this by: • Ensuring that a variety of tools and interventions are developed and implemented to support the prevention, early detection, treatment and enhanced recovery of patients with AKI. • Ensuring that patients who develop AKI are appropriately managed to reduce further deterioration, long term disability and death. • Ensuring that appropriate education and training programmes are developed for all health professionals based on best available evidence. • Ensuring that commissioners, health care professionals and managers are aware of the importance and risks of AKI and appropriate local strategies to reduce the burden of AKI are developed. Programme Objectives
  • 19. • Developing a national registry and audit for AKI leading to an improvement strategy on a national and local basis to reduce unwarranted variation in care. • Involving patients and the public in understanding the risk of AKI and preventative measures through education and appropriate access to personal information. • Supporting the development of a commissioning structure to allow local service configuration to provide quality care to individuals with AKI. • Identifying the research agenda for AKI (including basic science, clinical care and service delivery). Programme Objectives continued
  • 20. WellGroup Acute Kidney Injury Patient Pathway AKI National Programme AtRiskGroup Diagnosis Treatment Recovery AtRisk+Event
  • 21. Education Workstream Formalised Education Publicity Campaign Core Education Workstream Group Michael Jones Michael Wise Cat Shaw Nicky Wood Michelle Timoney Chris Laing Sue Shaw Kathryn Griffith Claire Scott Karen Thomas Winnie Wade Martin Christian Pauline Pinkos
  • 22. AKI Education – maximising learning 10.25 – 11.00 Winnie Wade Director of Education Royal College of Physicians
  • 23. Winnie Wade and David Parry Royal College of Physicians AKI Education - maximising learning October 2014
  • 24. Objectives • Identify factors that affect learning • Recognise the significance of different learning styles • Identify different modes of learning • Consider the challenges in designing educational programmes • Propose solutions to maximise learning
  • 25. What comes first – the subject or the learner?
  • 26. “Tell me and I forget” “Show me and I remember” “Involve me and I learn”
  • 27. Quiz
  • 28. Activity In pairs, answer the quiz questions on the handout. Form a group with 4 people seated near you. Reach a consensus on your answers.
  • 29. Answers to quiz 1. ii 2. iii 3. i 4. ii 5. All of them 6. i
  • 30. Activity Maximising learning about AKI – what are the challenges?
  • 31. What are the Challenges? Time Number of learners
  • 32. Change in role Teacher as ‘expert’ Teacher as ‘facilitator’
  • 33. Change in role Teacher as Expert Teacher as Facilitator Teaching objectives Learning objectives Telling Listening Discourage participation Encourage participation Ask fewer questions Ask a lot of questions No feedback Constructive feedback
  • 34. Some people prefer to take in information through: DOING PICTURES WORDS CONCRETE ABSTRACT Learning styles
  • 35. Learning Styles • Activists • Reflectors • Theorists • Pragmatists (Honey and Mumford, 1986)
  • 36. Adult Learning • Effective learning environment • Involve learners – learner-teacher collaboration • Learners diagnose own needs • Learners formulate their learning objectives • Develop learner’s skills of critical reflection
  • 37. The Educational Cycle • Assessing the individual’s needs • Setting educational objectives • Choosing and using a variety of methods of teaching and learning • Assessing that learning has occurred
  • 38. onlineFace-to-face Blended learning Flexible provision/Flexible delivery Learning ResourcesLearning Resources Learning Resources On-the-job learning Learning Resources
  • 39. Strengths of learning about AKI on-the-job • Rich in context and clinical content • Often 1:1, so more tailored teaching • Opportunities for active learning, feedback and role modelling • Good place to learn clinical skills and clinical reasoning • Context of learning matches context for future practice
  • 40. Maximising Learning • Recognise individual learning needs • Encourage autonomy in learning • Create a safe, supportive learning environment • Encourage self-reflection • Provide a variety of modes of learning Train the teachers
  • 42. What type of educational resources are available at the moment 11.00 – 12.10 AKI: a national learning programme for pharmacy- Sue Shaw, Advanced Renal Services Pharmacist, Royal Derby Hospitals NHS Foundation Trust Engaging health care professionals using electronic learning resources – Gang Xu, Senior Nephrology Trainee, East Midlands Deanery Apps for Education, - Ben Bray, Quality Improvement Fellow, King's College London NICE AKI online learning for nurses and healthcare support workers – Elaine Whitby, Associate Director – Education and Support, NICE How Can We Translate Improved Education on AKI into Better Care For Patients? – Andy Lewington, Consultant Renal Physician/Honorary Clinical Associate Professor, Director of Undergraduate Medical Education Leeds Teaching Hospitals Trust
  • 43. What type of educational resources are available at the moment 11.00 – 12.10 AKI: a national learning programme for pharmacy Sue Shaw Advanced Renal Services Pharmacist Royal Derby Hospitals NHS Foundation Trust
  • 44. Dr Sue Shaw Advanced Renal Services Pharmacist, Royal Derby Hospital Adrian Coleman, Caroline Ashley, Claire Morlidge, Emily Horwill, Rania Betmouni, Renal Pharmacists. Nick Selby, Consultant Nephrologist.
  • 48. 1. Clinical Pharmacist (Pre-reading materials)
  • 49. 2. Case discussions (Medicines optimisation in AKI, Contrast-induced nephropathy, ‘Sick Day Rules’)
  • 50. Case Three: • Pankaj Gupta is a 76-year-old male with stage 3 CKD and hypertension. He has presented to A&E after being unwell with diarrhoea and vomiting for more than 24 hours. • DHx: Bendroflumethiazide 2.5mg OM Ramipril 10mg ON Simvastatin 40mg ON Trimethoprim 200mg BD (UTI)
  • 51. • Good uptake of the programme including at national pharmacy events • Linked to national Medicines Optimisation Toolkit produced by the UK Renal Pharmacy Group • Supports the Royal Pharmaceutical Society work for community pharmacists regarding ‘Sick Day’ rules and local CQuin pathfinder project
  • 52. What type of educational resources are available at the moment 11.00 – 12.10 Engaging health care professionals using electronic learning resources Gang Xu, Senior Nephrology Trainee, East Midlands Deanery
  • 53. + Engaging health care professional using electronic learning resources… Improving Outcomes in Acute Kidney Injury (AKI)through education. G Xu, R Westacott, R Baines, N Selby, S Carr.
  • 54. +  NECEPOD report showing bad data for kidney patients.
  • 55. +
  • 56. +
  • 57. +
  • 59. +
  • 65. + Lectures / Small group session:  Integrated into established “protected” teaching sessions (Program expanded)  Grand round / department meetings.
  • 66. + Measure the changes:  Using TurningPoint software collected data on knowledge and confidence of clinicians when treating patients with AKI.  Before and after the educational package was developed and deployed.
  • 67. + What did we find ( n = 319)…
  • 68. + Did any one learn anything???
  • 69. + Did any one learn anything???
  • 70. + MCQ test on AKI knowledge.
  • 71. + Still much to be done….  Low number of doctors used the e-learning tool  However higher than expected uptake from other health care professionals.  Post intervention number of patients with AKI having documented urine-dip:
  • 72. + Summary:  Better education needed still…  Electronic resources is a potentially powerful tool  Engagement remains the key  Traditional teaching still has a firm place.
  • 73. + Thank you for your time…..
  • 74. What type of educational resources are available at the moment 11.00 – 12.10 Apps for Education Ben Bray Quality Improvement Fellow King's College London
  • 75. RCPE AKI App Outline of project & features Learning points
  • 76. Outline • Funded by NHS Kidney Care • Produced & owned by RCP Edinburgh • Content written by clinicians • Clinical content approved by Renal Association, RCP Edinburgh & Society of Acute Medicine • Free for users • Launched June 2013 • Technical update Sep 2014
  • 85. Global reach 0 10 20 30 40 50 60 Europe Asia North America South America Middle East Central America Africa Oceania % active users
  • 86. 0 10 20 30 40 50 iPhone iPad Android Phone Android Tablet % active users vs
  • 87. Learning points − Expensive & time consuming − Relationship with developers v important − Needs commitment to update and maintain + Wide reach + Democratic & accessible + Usage analytics
  • 88. Download • Search “AKI app” for RCPE app on iTunes store or Google Play store • Search “London AKI app” for London AKI app on iTunes store More info: b.jackson@rcpe.ac.uk [Bryony Jackson] Me: benjamin.bray@kcl.ac.uk
  • 89. What type of educational resources are available at the moment 11.00 – 12.10 NICE AKI online learning for nurses and healthcare support workers Elaine Whitby Associate Director – Education and Support NICE
  • 90. NICE AKI online learning for nurses and healthcare support workers Elaine Whitby Oct 2014
  • 91. Page No. | Date NICE guidance & e-learning • August 2013 NICE guideline published: Acute kidney injury: prevention, detection and management of acute kidney injury up to the point of renal replacement therapy • Search for existing e-learning: programmes or modules for doctors or pharmacists, nil specific to nursing • Recognition - nurses & healthcare support workers crucial to identifying risk and early detection • NICE commissioned e-learning resource • Published March 2014
  • 92. Page No. | Date Aim & objectives Audience • Nurses and healthcare support workers Aim • The aim of this learning programme is to support nurses and healthcare support workers in all settings in preventing and identifying AKI. Learning outcomes for nurses: • Define AKI • Recognise and assess patients at risk of AKI • Recognise and assess signs and symptoms of AKI • Escalate patients with AKI risk factors, signs or symptoms to medical staff or advanced nurse practitioner (ANP) • Support the multidisciplinary team in the management of a patient with AKI in primary or secondary care • Support patients and carers throughout the course of their illness and afterwards Learning outcomes for healthcare support workers: • Contribute to the assessment of patients at risk of AKI • Report results to the nurse or doctor responsible for the patient’s care • Escalate any result that shows positive for blood or protein • Calculate and record an early warning system (EWS) tracker and urine output (U/O). • Record and escalate an abnormal EWS tracker or abnormal U/O
  • 93. Page No. | Date 5 Sections: • What is AKI and who is at risk? • How do we recognise and prevent AKI? • How do we manage AKI? • How do we support patients and carers? • Clinical case study Nurses - all sections HSWs - section 2 Structure
  • 98. Page No. | Date The story so far • 1st NICE online learning specifically for nurses • Evaluation: 669 people enrolled Qualitative feedback: • ‘I found the tool extremely useful’ • ‘Great learning resource’ • ‘It was helpful to be able to judge my level of understanding as I worked through the units’. • ‘The presentation is interactive and memorable ….flowed well making it easy to work through’ Problems: • Monitoring completion • Obtaining certificates
  • 99. Page No. | Date Next steps Addressing technical issues Increasing feedback Widening access: discussions with e-learning for healthcare (e-LfH) to host the module Tool access: http://www.nice.org.uk/guidance/cg169/resources
  • 100. What type of educational resources are available at the moment 11.00 – 12.10 How Can We Translate Improved Education on AKI into Better Care For Patients? Andy Lewington, Consultant Renal Physician / Honorary Clinical Associate Professor, Director of Undergraduate Medical Education Leeds Teaching Hospitals Trust
  • 101. Acute Kidney Injury: What Taught Programmes Are Available? Dr AJP Lewington Consultant Renal Physician/Honorary Associate Professor Director of Undergraduate Medical Education Leeds Teaching Hospitals
  • 102. Declaration of Interest • AbbVie – Advisory Board for Melanocortin therapy for AKI, Honoraria for Lectures • AM Pharma – Advisory Board and Co Chief Investigator for Alkaline Phosphatase therapy for AKI • Alere – Honoraria for chairing meeting • Bioporto – Advisory Board for NGAL • Fresenius – Honoraria for lecture at ICS • Baxter – Honoraria for lecturing on IV Fluids
  • 104. Levers • NCEPOD – Adding Insult to Injury 2009 • NICE – AKI CG 169 2013 – AKI Quality Standard 2014 – IV Fluids CG 174 2013 • NHS England – AKI warning March 2015
  • 108. Undergraduate Medicine • Identify where renal medicine is taught in the curriculum and what is covered – University of Leeds • 1st Yr – Body Systems – 10 lectures/3 seminars • 2nd, 3rd and 5th Yr clinical placements • RRAPID simulation course – scenarios with patients developing sepsis, hypovolaemia and AKI • Assessment – written and OSCEs
  • 109. Recognising And Responding To Acute Patient Illness And Deterioration ALT Conference 2014, Warwick S. Bickerdike, L. Smith, A. Dean, I. Kozieradzka-Ogunmakin, A. Lewington
  • 114.  New version  NEWS calculator  AKI Risk Calculator  Facilitate transition from student to Foundation Year iPhone app
  • 115. The RRAPID eBook and iPhone app Available in the App Store FREE or eBook at rrapid.leeds.ac.uk/ebook Website rrapid.leeds.ac.uk
  • 117. Primary Care • Renal Medicine? • Building a case • secondary care placements in Renal Medicine - Leeds • Target Teaching Days – Make it relevant – Link CKD and AKI – with a GP – cases
  • 118. Challenge Make AKI the remit of ALL GP’s and General medicine teams • The greater the number of risk factors an individual patient has for AKI the greater the likelihood of AKI being present on admission. • About 50% of acute medical patients are taking nephrotoxic medication prior to admission
  • 119. Secondary Care • Local postgraduate programmes – FY, CMT, StRs, Grand Rounds – Departmental • National programmes – CCrISP – Care of the Critically Ill Surgical Patients – Royal College of Surgeons – IMPACT
  • 120. Conferences - UK • Royal Society of Medicine – AKI Frontiers – 26 Sept 2014 • Royal College of Physicians - London – 28 Oct 2014 – AKI Update • Renal Association/EDTA - London – 28/31 May 2015 • British Renal Society • Royal Free/UCL – AKI Academy – 18/19 Oct 2014
  • 121. Conferences - UK • Yorkshire & Humber AKI Patient Care Initiative (AKIPCI) – Wakefield – 17 October 2014 • STOP AKI Study Day – Leeds – 6 November 2014 • Leeds 2nd Critical Care Nephrology Conference – 19 May 2015
  • 122. Conferences - International • CRRT – San Diego – 17-20 Feb 2015 • International Society of Nephrology – Cape Town – 13-16 March 2015 • Need an AKI conference calender on AKI website
  • 123. Summary • Need to develop Educational strategy – covers undergraduate and postgraduate training • curriculum • organic – multiprofessional/interprofessional – interesting • link in with sepsis, fluids etc • link with national programmes – assessed – sustainable
  • 125. Question Time Panel 12.10 – 12.30 Panel Members Sue Shaw, Advanced Renal Services Pharmacist, Royal Derby Hospitals NHS Foundation Trust Gang Xu, Senior Nephrology Trainee, East Midlands Deanery Ben Bray, Quality Improvement Fellow, King's College London Elaine Whitby, Associate Director – Education and Support, NICE Andy Lewington, Consultant Renal Physician/Honorary Clinical Associate Professor, Director of Undergraduate Medical Education Leeds Teaching Hospitals Trust
  • 126. Soap Box Session 12.10 – 12.30 An opportunity for delegates to present their resources in a rapid fire session where each presenter will be allowed 2 minutes to present their resource Kathryn Griffith General Practitioner Royal College of General Practitioners
  • 127. Reverse Brainstorming How to Damage Marjory’s Kidneys Kathryn E Griffith Clinical Champion for Kidney Care Royal College of General Practitioners
  • 128. Causes of AKI Exposures Susceptibilities Sepsis Dehydration or volume depletion Critical illness Advanced age Circulatory shock Female gender Burns Black race Trauma CKD Cardiac surgery especially bypass Chronic heart, lung or liver disease Major surgery Diabetes mellitus Nephrotoxic drugs Cancer Radiocontrast agents Anaemia Poisonous plants and animals
  • 129. Marjory Aged 88 Group1 • Marjory lives alone and enjoys life • What can she do to damage her kidneys?
  • 130. How to Damage Marjory’s Kidneys Group 1: Age 88 what can she do? Group 2: BP 170/90 what can you do? Group 3: Dysuria and frequency what can you do? Group 4: AMI What can the Cardiologist do? Group 5: Heart Failure ramipril and eplerenone what can you do?
  • 131. Potential causes of AKI Exposures Susceptibilities Sepsis Dehydration or volume depletion Critical illness Advanced age Circulatory shock Female gender Burns Black race Trauma CKD Cardiac surgery especially bypass Chronic heart, lung or liver disease Major surgery Diabetes mellitus Nephrotoxic drugs Cancer Radiocontrast agents Anaemia Poisonous plants and animals Care of Cardiolgist !!
  • 132. Thank you for looking after me!
  • 133. AKI (NH6179) module Ferdinand Bravo (Ferdinand.Bravo@bsuh.nhs.uk) Renal pathway – Module leader Sussex Kidney Unit/University of Brighton
  • 134. AKI (NH6179) module • 20 credit, level 6 (degree level) post graduate nursing module. • Part of renal pathway course. • Can be taken as a stand alone module or part to complete • Acute care in professional practice (BSc-hons) or Post graduate in acute care in professional practice.
  • 135. AKI (NH6179) module Pre-requisite: • Applicable to health care professionals in all areas of care with at least one year’s experience in practice.
  • 136. AKI (NH6179) module Brief description of module content: • This module will enable the student to develop understanding of AKI disease process and critically explore the preventive and therapeutic management within the sphere of practice.
  • 137. AKI (NH6179) module Teaching and Assessment: • Blended learning • Case presentation/PBL • OSCE – assessment of renal functions • 2500 word case study on AKI management with focus on prevention.
  • 139. Group Work in your clinical perspective 13.45 - 14.55 Instructions We have set a series of questions for each of the 5 groups to answer. The questions can be found in your group. Your name badge has the number of your group on it to indicate which group you should go to. A facilitator will be in your group to guide you through the process and to ensure you prepare a 2 minute highlight presentation to feedback to the whole group. You will find templates and pens in your groups. You have 1 hour and 10 minutes allocated for this group work.
  • 140. Group Work • Group 1 – Facilitator Mike Jones • Group 2 – Facilitator Peter Hewins • Group 3 – Facilitator Claire Stocks • Group 4 – Facilitator Elaine Whitby • Group 5 – Facilitators Annie Taylor/Richard Hull • Group 6 – Facilitator Kathryn Griffith
  • 141. Group Work QuestionsGroups 1-4 Group 5 Group 6 What educational resources are missing for our profession in respect of AKI? What educational resources are missing for health and care professionals in respect of AKI? What educational resources are missing for our profession in respect of AKI? What is the best medium for education in our profession? What resources are required? What is the best medium for education about AKI across the NHS? What is the best medium for education in our profession? What resources are required? Where do you think education is most needed? Which groups should we target for the most impact? Where do you think education is most needed? Which groups should we target for the most impact? Where do you think education is most needed? Which groups should we target for the most impact? What are the main impediments to training for our profession? What are the main impediments to training for improvement agents, managers and others (non- clinicians) in the NHS? What are the main impediments to training for our profession? How can the AKI National Programme help the professionals in your locality? How can the AKI National Programme help you and your professional colleagues learn about AKI? How can the AKI National Programme help the professionals in your locality? What material currently exists to help GPs explain AKI and risk to patients, how useful is it and what else is needed? From the patient’s perspective what information is needed and in what format?
  • 142. Feedback from Group Work 14.55 – 15.10 • 2 minutes feedback from each group
  • 143. Using social media to reach a wide range of stakeholders 15.10 – 15.40 Amy Burton Social Media Executive Diabetes UK
  • 144. Closing remarks and next steps 15.40 – 16.00 Mike Jones Acute Physician Royal College of Physicians
  • 145. How to find out more Karen Thomas Think Kidneys Programme Manager UK Renal Registry Karen.Thomas@renalregistry.nhs.uk Teresa Wallace Think Kidneys Programme Coordinator UK Renal Registry Teresajane.Wallace@renalregistry.nhs.uk 28.11.2014Acute Kidney Injury National Programme | Introducing the Think Kidneys campaign | Karen Thomas | 145 Contact Think Kidneys Richard Fluck National Clinical Director for Renal NHS England Richard.fluck@nhs.net Joan Russell Head of Patient Safety NHS England Joan.russell@nhs.net Ron Cullen Director UK Renal Registry Ron.cullen@renalregistry.nhs.uk www.linkedin.com/company/think-kidneys www.twitter.com/ThinkKidneys www.facebook.com/thinkkidneys www.youtube.com/user/thinkkidneys www.slideshare.net/ThinkKidneys www.thinkkidneys.nhs.uk