Clin Med (Lond). 2019 Mar;19(2):109-113. doi: 10.7861/clinmedicine.19-2-109.
To address inconsistencies in the recognition and management of acute kidney injury (AKI), an electronic-alert (e-alert) system was implemented by NHS England in 2015. This study aimed to describe its impact within acute medicine in the West Midlands. All admissions to included acute medical units were screened for AKI in two phases, before and after the e-alert was introduced. Data describing recognition and management of patients with AKI were collected. In the 10 units that participated in both phases, recognition of AKI by clinicians significantly improved from 67.9% in 2015 to 76.1% in 2016 (p=0.04). Further analysis of the data found that the presence of an e-alert had a limited effect on recognition and management, suggesting it was not the primary cause of the improvements. Multiple avenues of research have been recommended to clarify the impact of the e-alert system and to improve deficiencies in management that were identified in the data.
为了解决急性肾损伤（AKI）识别和管理中的不一致性，NHS 英格兰于 2015 年实施了电子警报（e-alert）系统。本研究旨在描述其在西米德兰兹地区急性医学中的影响。在引入 e-alert 之前和之后的两个阶段，对纳入的所有急性医学病房的患者进行 AKI 筛查。收集描述 AKI 患者识别和管理的数据。在参与两个阶段的 10 个单位中，临床医生对 AKI 的识别率从 2015 年的 67.9%显著提高到 2016 年的 76.1%（p=0.04）。对数据的进一步分析发现，e-alert 的存在对识别和管理的影响有限，表明这不是改善的主要原因。已经推荐了多种研究途径来阐明电子警报系统的影响，并改善数据中发现的管理缺陷。
