Clinical e-Audit

Chronic kidney disease: early detection and management

A series of quality improvement clinical audits

  • Cost: Free

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Accreditation

This audit and feedback activity can be self-recorded for professional development hours. The audit’s duration will vary depending on the GP, their practice and the number of patients reviewed. NPS MedicineWise recommends allowing approximately 3-8 hours to complete 5-10 patients per audit. There are three audits available to choose from.

 

Audience:

• General practitioners

• Health professionals working in remote areas with extended scope of practice*


*While these clinical audits are primarily targeted at GPs, health professionals who work in rural or remote areas with extended scope of practice could complete these in collaboration with appropriate clinical staff.

 

About

One in 10 Australian adults have signs of probable chronic kidney disease (CKD) and less than 10% of those affected are aware they may have the condition.

Knowing who is at risk of CKD allows targeted screening and early diagnosis. Early detection and intervention may slow or halt disease progression to avoid dialysis or kidney transplant and reduce absolute cardiovascular risk.

NPS MedicineWise has developed a series of three audit and feedback activities focused on the diagnosis and management of chronic kidney disease. See Figure 1.

Figure 1: NPS MedicineWise audit and feedback activities - Chronic Kidney Disease.

You can choose to complete any or all of the audit and feedback activities, although completion in a sequential order is recommended.

 

What do I get out of this activity?

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Each audit and feedback activity allows you to assess and review your management of patients at risk of, or who have, CKD, then make a comparison between your current management and best practice recommendations.

 

What’s involved?

  • Complete data collection for patients within your practice/clinic.
  • Review your practice/clinic data compared to national aggregate data.
  • Review individual patients’ data, against best practice clinical indicators.
  • Identify and implement improvements in your practice.
 

Clinical resources and tools

The NPS MedicineWise Educational Visit – Chronic kidney disease: early detection and management provides the foundations for the audit and feedback activities. If you have not received an educational visit, review the supporting clinical resources available here prior to starting the audit and feedback activity.

 

Audit and feedback activities

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Audit and feedback activity 1: Chronic kidney disease — Screening

This activity allows you to screen patients at risk of CKD and identify those with early signs of the disease.

 
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Audit and feedback activity 2: Chronic kidney disease — Diagnosis and Management

This activity allows you to review your approach to the diagnosis and the management of chronic kidney disease.

 
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Audit and feedback activity 3: Chronic kidney disease — Pharmacological Management

This activity allows you to optimise your prescribing for chronic kidney disease, including the use of:

  • Angiotensin-converting enzyme inhibitor (ACEi) / Angiotensin II Receptor Blockers (ARBs) and
  • Sodium-glucose co-transporter-2 (SGLT2) to treat those with CKD and type 2 diabetes.