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National Confidential Enquiry into Patient Outcome and Death
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Home/Publications/Reports/Acute Kidney Injury: Adding Insult to Injury (2009)
Acute Kidney Injury: Adding Insult to Injury (2009)

This NCEPOD report highlights the process of care of patients who died in hospital with a primary diagnosis of acute kidney injury (AKI). It takes a critical look at areas where the care of patients might have been improved. Remediable factors have been identified in the clinical and the organisational care of these patients.

Adobe Acrobat is required to veiw many of the documents below. (The Adobe Acrobat reader is available for free to download from here.)
Microsoft PowerPoint is required to view the slide presentation. (To download the Powerpoint Viewer please click here.)
Microsoft Excel is required to view the checklist excel version. (To download the Excel Viewer please click here.)

View/Save Report

Executive Summary

Slides

Self Assessment Checklist

Audit Toolkit

Organisational Data Comparisons

Principal Recommendations (13Kb)

Self assessment checklist for trusts (Excel version only) (32Kb)

Afternoon speakers at the report launch were:
Dr Kevin Harris, Clinical Vice President of The Renal Assosiation

Dr Sian Finlay, Acute Physician and Nephrologist, Society for Acute Medicine

Dr Marlies Ostermann, Consultant in Nephrology and Critical Care, Guys and St Thomas' Hospital

Dr Donal J O'Donoghue, National Clincial Director for Kidney Services

Report Launch audio file
Morning Session - (NCEPOD present report findings)

Report Podcast - audio file
BMJ interview with Dr Jim Stewart, NCEPOD Clinical Co-ordinator discussing the findings made in the report.

Study Questionnaires (3 Qs.)
Below are a list of questionnaires used in the study available for download. Click each to download as a pdf file.
Clinical Questionnaire
Organisational Questionnaire
Assessment Form (Draft only)