The Greater Puget Sound Chapter #503 of ANNA will present their 2018 Renal Update February 1-2, 2018 in Lynnwood WA. Topics include incivility, surveys, iatrogenic death, teach-back, calciphylaxis, difficult conversations, passion and compassion, AKI, organ donation, ultrafiltration, lupus, hyponatremia, hyperoxaluria, and the future of dialysis. Registration is online only, and closes on January 29, 2018. Discounts are available until 11:30 pm PST January 10, 2018. For more information see https://s3-us-west-2.amazonaws.com/nwrn.org/files/N/ANNA/RenalUpdate2018.pdf.
Beginning January 1, 2018, dialysis facilities must include AKI patients in NHSN Dialysis Event Surveillance. Reporting AKI patient data to a new, separate NHSN location will enable CDC to exclude AKI patient data from NHSN BSI information shared with CMS for purposes of the ESRD QIP.
The “Acute Kidney Injury Location” should be used to report Dialysis Events, and denominator data, for patients who have AKI and do not have an ESRD diagnosis at the time of the Event, or at time of denominator data collection. The AKI Location was released as part of the NHSN version 8.8 update on December 2, 2017. Find instructions for using the AKI Location at https://s3-us-west-2.amazonaws.com/nwrn.org/files/NHSN/nhsn.AKI.Loc.pdf.
Among patients included in the NHSN Dialysis Event Surveillance population, the following criteria should be used to identify patients who have AKI:
No diagnosis of “End Stage Renal Disease” or “ESRD” in the patient medical record, or through the ESRD Medical Evidence Form (Form CMS-2728-U3) AND
Physician-diagnosis of “Acute Kidney Injury” or “AKI” listed in the patient medical record (e.g., nephrologist consult or referral form) AND
The event date, or date of denominator data collection, is not more than 6 months after the date the patient initiated outpatient hemodialysis.