Chronic kidney disease quality standard

NICE quality standards [QS5] Published date:

Quality statement 7: Acute illness

Quality statement

People with CKD who become acutely unwell have their medication reviewed, and receive an assessment of volume status and renal function.

Quality measure

Structure: Evidence of local arrangements to ensure that people with CKD who become acutely unwell have their medication reviewed, and receive an assessment of volume status and renal function.

Process: Proportion of people with CKD presenting acutely unwell who have their medication reviewed, and receive an assessment of volume status and renal function.

Numerator – the number of people in the denominator having their medication reviewed and receiving an assessment of volume status and renal function.

Denominator – the number of people with CKD presenting acutely unwell.

What the quality statement means for each audience

Service providers ensure that a medication review and assessment of volume status and renal function is carried out in people with CKD who become acutely unwell.

Healthcare professionals review medication, and perform assessments of volume status and renal function for people with CKD who become acutely unwell.

Commissioners ensure they commission services that review medication, and perform assessments of volume status and renal function for people with CKD who become acutely unwell.

People with CKD who suddenly become unwell have their medication checked and are assessed to find out how well their kidneys are working.

Data source

Structure: Local data collection.

Process: Local data collection.

Definitions

An acute illness is a disease with an abrupt onset and short course. In this context 'acutely unwell' is defined as an episode where the health of the person with CKD gets worse suddenly. This may or may not be related to CKD and applies to presentation in all healthcare settings, including both primary and secondary care.

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