Table 1.

Key indicators of assessments following episodes of AKI.

Recognition Diagnosis and evaluation	Action Monitoring	Therapy	Documentation	Results Metrics
Baseline renal function and comorbidity history  Previous AKI history  Physical examination  Urine analysis  Protein/ Albumin excretion	• sCr • Urine volume	• Assessment and therapy for sepsis • BP management • Review type and volume of fluid • Medication review	• Medication review and reconciliation • Progression of kidney function • Frequency of sCr assessment	• Proportion of patients with AKI in different settings • Proportion of patients with appropriate sCr assessment
AKI severity	• Progression (sCr daily assessment) • Urine output changes • Volume and hemodynamic assessment • Adverse Drug Events	• Volume infused • Type of fluids used • Diuretic usage • Need for RRT	• Severity, peak serum creatinine • Oliguria incidence • Duration of AKI • Need for RRT • RRT indication • Days in RRT	• Proportion of patients with documentation of AKI severity • Proportion of AKI recovery by severity • Proportion of patient with AKI-D • Days in RRT
Minimum work up / context-specific to determining etiology  Hemodynamic variables  Radiology and serology tests  Other context-specific tests	• Complications: hyperkalemia/ metabolic acidosis /symptoms or complications of uremia (for example, pericarditis or encephalopathy)/ fluid overload/ pulmonary edema.	• Appropriate treatment of AKI complications based on previous guidelines	• Work up for complications determining etiology • Documentation of appropriate monitoring and treatment	• Proportion of patients with complications • Appropriate management of complications