Collaborative zone

Welcome to our AKI collaborative zone.

We hope that this will be a zone that supports your quality improvement (QI) journey. We see this platform as a place for sharing and learning within the collaborative so please watch this space!

You will find templates, tools and presentation slide sets from learning sessions. You will also find links to forthcoming webinars and recordings of previous webinars conducted during the action periods.

This is a great opportunity to practice the All Share & All Learn approach to patient safety and to build on the successes and challenges within the collaborative and beyond.

AKI Collaborative Framework

The Collaborative Framework document outlines the problem statement, mission, goals and expectations of the UCLPartners AKI Collaborative. The Framework also details the Institute of Healthcare Improvement (IHI) Breakthrough Series (BTS) improvement methodology as well as the AKI Collaborative measurement strategy. This document will assist in providing structure and support for your AKI quality improvement activities.

Template guide

Please feel free to use these as you wish, please contact Sarah Seaholme if you require assistance or have any questions. These templates have been adapted from the Institute for Healthcare Improvement BTS college extranet.

Developing an aim

Improvement requires setting aims. An aim of an improvement project should be time specific, measureable and define a specific population. Achieving agreement on the aim of the project is a key element for maintaining progress throughout the life cycle of the project.

Now that you have the AKI change package that was discussed in learning session 1, this will be a helpful guide for you to establish your local project aims specific to your institution.

Action period 1 (AP1) trust team meeting: Team set-up

This template will assist you with formalising your AKI champions’ team membership and establishing and documenting project aims and measures in addition to any changes and amendment that you may wish to track and document.

Action period 1 (AP1) trust team meeting: Project planning

This template will assist you with formalising your AKI champions’ team progress through the project over time. This is a great tool to graphically display your team’s progress and track your successes.

Driver diagram template

This a great diagram that can be used to plan QI activities. It is a conceptual model to help you and your team identify an aim, and then align the relevant system components in order to support the achievement of that aim.

The driver diagram can provide a great way to systematically lay out aspects of your project so that they can be easily discussed, agreed and shares with others. It organises information on proposed activities, in a user-friendly way, so that the relationship between the aim of the project and the changes to be tested and implemented are made clear.

Plan Do Study Act cycle (PDSA Cycle): Model for improvement

This is a useful tool to carry out small tests of change to support rapid cycles of improvement at an operational level based on the needs of the team and your project aims. It is an effective tool for learning, because all learning derived from testing an idea can be used to inform future PDSA Cycles (whether the outcome is positive or otherwise).

The PDSA template is a useful tool for documenting a small test of change. The PDSA cycle is shorthand for testing a change by developing a plan to test the change (Plan), carrying out the test (Do), observing and learning from the consequences (Study), and determining what modifications should be made to the test (Act).

Use the PDSA template to help your team document your small test of change. Complete a new template for each test of change that you conduct. Keep a file of all your completed PDSA Cycles for future reference so that you can track and evidence your progress.

PDSA worksheet for testing change

This worksheet is an extended version of the PDSA Cycle that allows for greater detail to be documented if you feel that the test of change that you are about to conduct needs further content prior to carrying out the PDSA cycle.

Resources created by the collaborative

Acute Kidney Injury patient experience feedback form

Identify and analyse key behaviours relevant to your work, in need of intervention and change using the AKI patient experience feedback form. Designed by Southend University Hospital, the survey will allow the patient to rate various hospital behaviours they experienced during their stay and discharge. Improve the team’s insight on patient experience providing this survey to the patient once discharged.

Acute Kidney Injury alert checklist

Implement this AKI alert checklist for both doctors and nurses treating AKI. Designed by Southend University Hospital, to assist with reliable recognition and assessment, reliable care delivery, and to establish safety culture and quality improvement.

Social media for the collaborative

In contributing to our AKI collaborative on social media, the rule of thumb that we promote is to be on-topic and respectful of others. For the sake of clarity, we thought it would be useful to jot down some tips for safe and productive use of social media when engaging with the UCLPartners collaborative.
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Feel free to contact a member of the team if you have any questions or feedback.