Hi Jeff,
I assume that these are the comments that the CSC algorithm adds to the AKI Warning Stage Test result?
I do not know what the numbers mean - They may be used by CSC to define the situation encountered by the algorithm that led to the" positive" AKI test report.
CSC did not consult us on the detail of the comment output for their algorithm although I can guess what these comments are meant to convey.
It would seem better for the test result to express the stage of AKI as a numerical (dimensionless) result and allow flexibility in the accompanying comment.
You are one of the first to see the new CSC module in action (assuming it is indeed the new module) so there is little experience to share at the moment unless anyone else would care to comment?
Best wishes,
Robert
Dr Robert Hill
Consultant Clinical Biochemist
________________________________________
From: ACB AKI-Detection-Algorithm [[log in to unmask]] On Behalf Of Jeffrey Barron [[log in to unmask]]
Sent: 26 October 2014 18:14
To: [log in to unmask]
Subject: Comment interpretation
Dear Robert
We are implementing the AKI algorithm.
Your advice on the comments would be appreciated. What is the meaning of the numbers in brackets? Is there a detailed interpretation of the comments.
Have you kept the comments or changed the comments:
AKI stage 0 Report without alert (6)
AKI stage 0 Report without alert (7)
AKI stage NA Flag High ? AKI ? CKD
AKI stage NA No flag alert (9)
AKI stage NA insufficient data (10)
Best wishes
Jeff
Jeffrey Barron
Consultant Chemical Pathologist
-----Original Message-----
From: ACB AKI-Detection-Algorithm [mailto:[log in to unmask]] On Behalf Of Hill Robert (NORTH BRISTOL NHS TRUST)
Sent: 26 October 2014 13:56
To: [log in to unmask]
Subject: Re: Annual fee for LIMS providers?
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Hi Jon,
Thank you for posting this.
Members of the detection and measurement workstreams of the AKI project will be meeting with CSC fairly soon - exact date to be arranged.We can clarify their position on this and also
ensure that CSC understands the limited nature of any modifications we intend to make in the future. Ultimately of course this will be a contractual matter between Trusts and CSC.
Other comments refelecting experience with charges proposed by CSC or other LIMS suppliers welcome.
Best wishes,
Robert
Dr Robert Hill
Consultant Clinical Biochemist
________________________________________
From: ACB AKI-Detection-Algorithm [[log in to unmask]] On Behalf Of Jonathan Murray [[log in to unmask]]
Sent: 24 October 2014 09:17
To: [log in to unmask]
Subject: Annual fee for LIMS providers?
Hi Robert,
I wondered what the national consensus is regarding routine annual payments to LIMS providers?
Several units in the Northern region use CSC and - in addition to an initial set-up fee - they are mandating our Trusts agree to pay an annual fee (£500 + VAT). We appreciate the figure is not necessarily substantial but of course feel obliged to ensure that any NHS resource is being used responsibly. We also appreciate that sometimes it is necessary to maintain a payment for IT 'support' etc - but (as far as I know) this is not routine in such circumstances. Of course we recognise that - "if, as and when" any updates occur that an upgrade fee would be charged - but of course it may be that no upgrades do occur, or perhaps not for several years. Certainly when trying to justify payments, it is easier to do so if you are 'getting something' when needed (ie an upgrade) for your Trust's money - rather than committing to long term annual payments 'in case' changes occur at some point in the future.
We would be most grateful for your / others opinion on this - and indeed an idea of what others have done about this (if indeed they have encountered it with CSC or other LIMS providers).
Best Wishes,
Jon
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