Lorraine,
At the time of writing the test script, some LIMS suppliers were stating verbally that they could design a software module containing the NHS England AKI algorithm that would reconcile duplicate records.
That is why this test was included. In some Trusts, where duplicate records are not merged in a systematic way, it may be appropriate reject the software module and not go live with it on the basis of failing this test. Such a Trust would have to go back to the LIMS supplier and request a modification to the code. I suspect that all data bases have some duplicate records so it becomes a matter of judgement and therefore risk assessment.
Robert
Dr Robert Hill
Consultant Clinical Biochemist
________________________________________
From: ACB AKI-Detection-Algorithm [[log in to unmask]] On Behalf Of COBBE LORRAINE (RM1) Norfolk and Norwich University Hospital [[log in to unmask]]
Sent: 10 December 2014 10:00
To: [log in to unmask]
Subject: Re: NHS England Test Script
Robert
A Test Script is a set of instructions that are performed on a system under test to verify that the system performs as expected. If it fails the script then the code isn't working as expected, hence my question. You may not have said here's a script and it should pass all the tests but at the same time you never said here's a script and by the way it can fail some tests and that's ok if you do a risk assessment. A test script shouldn't be used to highlight deficiencies in the code and then say ok let's carry on now we know that it's failed this test, at this point you should get the code fixed and then re-test.
In any other circumstances I wouldn't allow this to go live.
Lorraine
-----Original Message-----
From: ACB AKI-Detection-Algorithm [mailto:[log in to unmask]] On Behalf Of Hill Robert (NORTH BRISTOL NHS TRUST)
Sent: 09 December 2014 12:36
To: [log in to unmask]
Subject: Re: NHS England Test Script
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Good afternoon Lorraine,
"The script failed and I have to have it completed successfully before I can ask for it to be put in live." - Is this a local rule?
No-one in the AKI Programme Detection workstream has stated that you should not use software containing NHS England AKI detection algorithm unless it passes all tests in the test script.
The failure of one test draws to your attention the potential for missing AKI cases. However there are several other circumstances where the inevitable shortcomings of the algorithm will also miss AKI cases.
The impact of failing the test you mention will differ between Trusts and depends on the numbers of duplicate records their LIMS database holds. You need to do a risk assessment locally and discuss with colleagues whether the risks of missing some AKI cases is acceptable.
Best wishes,
Robert
Dr Robert Hill
Consultant Clinical Biochemist
________________________________________
From: ACB AKI-Detection-Algorithm [[log in to unmask]] On Behalf Of COBBE LORRAINE (RM1) Norfolk and Norwich University Hospital [[log in to unmask]]
Sent: 09 December 2014 10:05
To: [log in to unmask]
Subject: NHS England Test Script
Good morning
I've been given the NHS England test script by my LIMS supplier. One of the tests is to determine if the LIMS will reconcile a patient with two different hospital numbers but the same NHS number (I made all the PID match except the hospital number). Needless to say it failed the test, I've been told by my LIMS that it only uses hospital number to link patients it won't use NHS number. If that is the case then why where they given this test on the script. The script failed and I have to have it completed successfully before I can ask for it to be put in live.
Was this an error on the part of the NHS England test script or my LIMS? The LIMS allows mutlipe use of the NHS number and we thought that this would overcome the issues we have with performing tests for multiple hospitals each requireing their own hospital number to be used.
Step 3
This test requires the use of NHS numbers with dummy data so must not be carried out in a live environment. Most LIMS systems allow a procedure to run in a test environment.
Using data set for patient 3, enter the dummy patient data ensuring that the two samples have identical NHS numbers but different local identifiers (e.g. Hospital number). Different results will be generated depending on whether the multiple records have been reconciled or not.
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