Evidence-based self-assessment for fluid management in AKI
How mature is your fluid stewardship practice?
Answer 10 evidence-based questions. Get your Fluid Stewardship Maturity Score,
see how you compare with 163 Indian clinicians, and receive a personalised reading plan.
10Scored components
163Clinicians in benchmark cohort
0–20Maturity score range
What does the FSMM assess?
Ten clinically grounded behaviours — each scored 0 (gap) · 1 (partial) · 2 (optimal)
🧪
Balanced Crystalloid Preferred
🔬
Checks Serum Chloride
📊
Knows & Applies SMART Trial
🌹
Knows & Applies ROSE Framework
📉
Uses Dynamic Assessment
💊
Furosemide Stress Test Use
📋
Documents Fluid Balance
⚖️
Uses Fluid Overload Threshold
🔄
Applies De-Resuscitation
💉
Considers Fluids as Drugs
About this tool
The Fluid Stewardship Maturity Model (FSMM) was developed from a KAP survey of 163 critical-care
and nephrology clinicians across India. This calculator lets you benchmark your own practice
against the survey cohort and identify priority areas for evidence-based improvement.
Dr. Manjunath Kulkarni
Nephrologist
Dr. Vijay Sundarsingh
Intensivist
Dr. Manoj Kumar
Intensivist
🏥 Father Muller Medical College & Hospital (FMMC), Mangaluru
Question 1 of 1010%
Your Fluid Stewardship Maturity Score
0/20
0 — NascentDevelopingProficientAdvanced — 20
—
📊 Survey benchmark
163 Indian clinicians, FMMC Mangaluru 2024
🎯 Your quartile
Component Scores
Each domain scored 0 (gap) · 1 (partial) · 2 (optimal) | 🟢 Optimal 🟡 Partial 🔴 Gap
Your Competency Radar
📚 Personalised Learning Plan
Priority readings for components where you scored 0 or 1 — ordered from greatest gap to partial.
Fluid Stewardship Maturity Model (FSMM)
Developed and validated from a survey of 163 Indian critical-care and nephrology clinicians
(survey mean 12.3 ± 3.4 / 20, n=160). Quartile cutoffs derived empirically from the study population.
Dr. Manjunath Kulkarni
Nephrologist
Dr. Vijay Sundarsingh
Intensivist
Dr. Manoj Kumar
Intensivist
🏥 FMMC, Mangaluru · Fluid Management in AKI Survey · 2024