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Table 1.

Demographics and clinical characteristics of all patients pre and post intervention.

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Fig 1.

Consort diagram inclusion and exclusions.

CA-AKI–Community-acquired AKI, HA-AKI–Hospital-acquired AKI, SCr–serum Creatinine.

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Fig 2.

Summary of intervention. At the control site no alerts were generated. RED boxes = AKI (community or hospital-acquired), AMBER = APS ≥5 points–cut-off for flagging patient at risk of AKI, GREEN box–all other patients (APS <5 points). HA-AKI–Hospital-acquired AKI, PAS–Patient administration system, SCr–serum creatinine. Patientrack AKI ALERT* ^AKI Prediction Score (APS)–clinical prediction rule.

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Fig 3.

Top left (A): Patient tile indicating presence and stage of AKI, baseline SCr and care bundle task status; top right (B): electronic observation chart with AKI status (present or at risk) in top right of screen with link to SCr results; bottom left (C): graph of SCr; bottom right (D): AKI care bundle. SCr–serum creatinine. Note that details for illustration only and are not of a real patient.

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Table 2.

Incident HA-AKI pre and post intervention unadjusted and difference-in-differences analysis.

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Table 2 Expand

Fig 4.

In-patient mortality in cases who developed HA-AKI before and after the intervention.

HA-AKI–hospital-acquired AKI, OR–odds ratio (95% CI).

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Table 3.

HA-AKI cases—pre and post intervention outcomes with adjusted difference-in-differences.

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Table 3 Expand

Table 4.

In-patient mortality in cases with CA-AKI and in those flagged at high-risk on admission by the CPR.

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Fig 5.

The learning health system–AKI as a case study.

AI–artificial intelligence.

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