Multi-hospital Electronic Decision Support for Drug-associated Acute Kidney Injury

Pharmacy personnel will generate a general recommendation based on the AKI KDIGO management guidelines to the physician.

The pharmacist will make nephrotoxic/renally eliminated medication management recommendations to the attending physician (or designee). Recommendations may include stopping or changing a drug, changing dose or schedule, ordering laboratory tests, taking no action, or other. The pharmacist will record details of the interaction with the physician and whether recommendations were accepted.

Passive Cerner alert provides decision support within the EMR for the diagnosis and basic staging of AKI but without specific recommendations for management.