Transforming Kidney Care in the Emergency Department: A Prospective Effectiveness-Implementation Evaluation

Inclusion Criteria

Inclusion Criteria: Participants must meet all of the following conditions to be eligible for the study: 1. Emergency Department Visit Patients presenting to one of the three study site emergency departments (EDs): Johns Hopkins Hospital (JHH) Bayview Medical Center (BMC) Howard County General Hospital (HCGH) Serum Creatinine Measurement 2. At least one serum creatinine (sCr) test performed during the ED visit. 3. Age: Adults (≥18 years old) at the time of ED visit. 4. Follow-Up Data Available: To be included in analysis for the investigator's secondary effectiveness outcome (new or progressive AKI) patients must have repeat creatinine concentration measurement available within 72 hours Exclusion Criteria: 1. No ED Serum Creatinine Data: Patients who do not have a measured serum creatinine (sCr) value during the ED visit will not have decision support provided during the ED stay. 2. Patients Discharged Without Follow-Up Data: Patients discharged from the ED who do not undergo a follow-up serum creatinine test within 72 hours will be excluded from analysis of new or progressive AKI outcome assessment. 3. Age \<18 Years 4. End-Stage Kidney Disease (ESKD) or Chronic Dialysis: Patients with a documented history of end-stage kidney disease (ESKD), (patients receiving chronic dialysis (hemodialysis or peritoneal dialysis) will will be excluded from analysis of new or progressive AKI outcome assessment).