Introduction
Taiwan has the highest prevalence of dialysis in the world. Our team is developing intelligent systems to halt the progression of the disease. The "Acute Kidney Injury Electronic Alert System" and the "Acute Kidney Disease Tracking System" utilize algorithms and historical databases to automatically identify and continuously monitor cases of acute kidney damage. The "CKD Map" pinpoints the location of patients with different stages of kidney disease for proactive intervention. The "Integrated Blood Dialysis Information System" automatically retrieves data from dialysis machines and generates electronic medical orders. The "Peritoneal Dialysis Integrated Telemedicine System" enables remote monitoring and adjustment of home-based treatments through cloud technology. By connecting these intelligent systems, we aim to achieve disease prevention and care, and strive to create a more comprehensive kidney disease care environment.
Features / strengths
Data statistics from April 1, 2020, to December 31, 2021, are as follows:
On average, the system automatically identified 220 cases of acute kidney injury and 66 cases of acute kidney disease per month. The rate of discharge diagnoses annotated with acute kidney injury increased nearly fourfold compared to before implementation.
The rate of follow-up visits to the nephrology department increased from 25.9% before implementation to 31.6% after implementation.
The rate of NSAID usage within 120 days after the occurrence of acute kidney injury decreased from 52.0% before implementation to 45.4% after implementation.
After the implementation of the CKD Map system, the number of detected hidden inpatients far exceeded the number of inpatient consultations in the nephrology department, nearly three times as much.
The number of cases enrolled in the initial stage care plan for kidney disease and pre-end-stage renal disease increased by an average of 28.36% per month.
On October 22, 2021, acute kidney disease was added to the end-stage renal disease pre-stage care plan of the National Health Insurance. Until the Chronic Kidney Disease Case Management System went online in 2023, it saved 1.5 manpower and 248 work hours.
Specification in detail
