Thank you for the question Jessica. I hope mailbase members will respond to this. I shall contribute when the debate has run for a little while. Do you want to put a deadline date
for responses?

Dr Robert Hill
Consultant Clinical Biochemist
________________________________________
From: ACB AKI-Detection-Algorithm [[log in to unmask]] On Behalf Of Schroeder, Jessica (WRH Biochemistry Medical Staff) [[log in to unmask]]
Sent: 10 October 2014 15:38
To: [log in to unmask]
Subject: AKI interpretation

To all AKI mailbase members



We are interested to know whether labs that have implemented AKI alerts have any 'manual' interpretation steps to ensure the validity of AKI comments or alerts.  I understand that the algorithm is not designed to be ‘perfect’, as AKI is a clinical diagnosis.  But I am concerned about automatically sending out a comment in certain scenarios, for example... Is it appropriate to put AKI comments in cases where previous creatinine results may relate to an inpatient episode (with perhaps fluid changes affecting the creatinine) or in cases where previous creatinine results may have been during pregnancy.

Is it always appropriate to put AKI comments in patients who have shown a change from creatinine 50 to 76??

Is there a risk of too many ‘false positives’ being reported, leading to ‘alert fatique’.



Following the AKI meeting in Birmingham, I understand that the National Programme aims to send 'AKI' alerts direct to a regional/national AKI register. Is there a danger that some patients may be mislabelled as 'AKI'?



We would be interested in learning from the experience of other labs nationally.



Many thanks in advance for any comments



Jessica



Jessica Schroeder

Principal Biochemist
Worcestershire Acute NHS Trust

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