An Electronic Alert System for In-Hospital Acute Kidney Injury

An Electronic Alert System for In-Hospital Acute Kidney Injury: A Randomized, Controlled Trial

This study will randomize hospitalized patients with acute kidney injury (AKI) to usual care, or an electronic alert intervention. The electronic alert will be in the form of a text page that will be sent to the covering clinician and unit pharmacist once per patient with AKI at the time lab results are uploaded. The investigators hypothesize that such an alert will improve outcomes in these patients.

Inclusion Criteria:

• Adults >=18 years
• Admitted to the Hospital of the University of Pennsylvania for greater than 24 hours.

Exclusion Criteria:

• Dialysis order within 24 hours of admission
• Dialysis order prior to AKI onset
• Initial creatinine >=4.0mg/dl
• Prior admission in which patient was randomized.
• Nephrectomy during the admission
• Admission to hospice service
• Admission to observation status