Patient flow from critical care to renal services: a year-long survey in a critical care network

Wright, Seth; Baudouin, SV; Kaudeer, N.; Shrestha, Sulekha; Malone, Jim; Burn, L.; Kanagasundaram, Nigel S.

doi:10.1093/qjmed/hcn071

Cited by 2 publications

(1 citation statement)

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“…A number of publications have described deficiencies in both clinical 12,13 and organisational [13][14][15] management in the UK alone. The most comprehensive of these assessments was undertaken by the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) 13 -an independent body that aims to optimise patient care through research and surveys of practice.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and management of acute kidney injury: deficiencies in the knowledge base of non-specialist, trainee medical staff

et al. 2012

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-Enhanced education has been recommended to improve non-specialist management of acute kidney injury (AKI). However, the extent of any gaps in knowledge has yet to be defined fully. The aim of this study was to assess understanding of trainee doctors in the prevention, diagnosis and initial management of AKI. An anonymised questionnaire was completed by hospital-based trainees across Newcastle Renal Unit's catchment area. Responses were evaluated against a panel of pre-defined ideal answers. The median score was 9.5 out of 20 (nϭ146; range 0-17) and was lower in more junior trainees. Fifty percent of trainees could not define AKI, 30% could not name more than two risk factors for AKI and 37% could not name even one indication for renal referral. These serious gaps in knowledge highlight the need for enhanced education aimed at all training grades. Organisational changes may also be required to optimise patient safety.

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Section: Introductionmentioning

confidence: 99%