Hi Berenice,

Excuse me for being a bit slow but how are you proposing to use the EQA CV parameter?

Dr Robert Hill
Consultant Clinical Biochemist
________________________________________
From: ACB AKI-Detection-Algorithm [[log in to unmask]] On Behalf Of LOPEZ BERENICE (RM1) Norfolk and Norwich University Hospital [[log in to unmask]]
Sent: 27 November 2014 10:04
To: [log in to unmask]
Subject: Additional Functionality on LIMS

Dear Robert
We are in the process of implementing the approved AKI algorithm on our test LIMS and have discovered an additional parameter called ‘EQA CV’ which we can use. I can see why it is in particularly for those labs using Jaffe creatinine methods and worried about being able to distinguish 26.5 umol/L from background noise.

However, this parameter is not explicitly part of the approved algorithm and if we were to insert the CV for our method (enzymatic creatinine and therefore actually lower than the default setting of 10% ) we could be seen to be deviating from the algorithm

Please could we have some guidance on this

Also, can I just check with the mailbase whether anyone has a good handle on the number of new alerts/day for secondary care and how these are partitioned amongst the stages. We have 1000 beds at the N+N and 500 beds apiece at QEH and JPUH.  Our nephrologists are keen to have a serum bicarbonate reflexively added to all new AKI alerts in secondary care

Many thanks and best wishes

Berenice

Consultant Chemical Pathologist (Metabolic Medicine)
Norfolk and Norwich University Hospitals






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