Dear all,
I have had several replies to my post and it’s great to see that the potential of an e-alert system is being recognised by trusts around the country and to hear about other local initiatives. The plan currently is for Nottingham who have developed this particular alert system to provide the logic for their algorithm so biochemistry departments at other trusts can look into implementing the system locally, IT systems allowing.
There are of course different systems in place. For example I have recently come across a similar system to the Nottingham one in East Kent who use their algorithm in a slightly different way. They generate a daily list of inpatients with the different AKIN stages who are then medically reviewed as appropriate, including referral to critical outreach.
There is also the system in place at Derby which uses automated alerts with subsequent authorisation by a biochemist to identify the different AkIN stages with excellent sensitivity and specificity.
The picture I'm getting so far is that there is work being done on this around the country, using several models. The next plan is to put together a survey of who is doing what so that the information can be shared
I will use this forum to keep you updated about any further developments regarding dissemination of the algorithm, the survey, or e-alerts in general.
Finally, is this forum the best means of reaching clinical biochemists nationally? Any suggestions welcome!
Yours Kindly
Zeinab Abdi
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