Hi Berenice,
Yes we are reporting eGFR on in-patients
We have just about settled on the following comments where there is no previous serum creatinine results:
"No previous creatinine result - unable to assess for AKI."
"To assess for AKI please repeat within 24 hours."
Also, as AKI comments will be reported alongside CKD comments, we also discussed changing the wording of the CKD comment a follows:
For CKD stage 2 - "If evidence of renal disease, a stable eGFR at this level indicates CKD stage 2. See renal referral guidelines."
For CKD stages 3-5 - "A stable eGFR at this level indicates CKD stage X. See renal referral guidelines." Where x = 3, 4 or 5
We are about to survey again how many AKIs we will turn up and at what stage.
With best wishes for 2015
Mike
Dr Mike Bosomworth
Clinical Service Lead for Blood Sciences and Specialist Laboratory Medicine
Tel: 0113 3922340
Mobile: 07789174344
-----Original Message-----
From: ACB AKI-Detection-Algorithm [mailto:[log in to unmask]] On Behalf Of LOPEZ BERENICE (RM1) Norfolk and Norwich University Hospital
Sent: 05 January 2015 18:47
To: ACB AKI-Detection-Algorithm; Bosomworth Mike (LEEDS TEACHING HOSPITALS NHS TRUST)
Subject: Re: Reporting Null results for the AKI warning stage test
Dear all
Please may I pick your collective brains regarding:
- whether you are reporting e.GFR values on SCr results on in-patients
- how you are dealing with any automated e.GFR/CKD comments that may be released with the e.GFR value e.g. suppressing the comment when there is an AKI alert generated, modifying the comment etc.
- numbers of new AKI alerts (1-3) generated in acute trusts (I have some data on this but not clear how many new alerts we should expect to generate in a (1)500 (2) 1000 bed hospital
Many thanks
Dr Berenice Lopez
Consultant Chemical Pathologist (Metabolic Medicine)
-----Original Message-----
From: ACB AKI-Detection-Algorithm [mailto:[log in to unmask]] On Behalf Of Hill Robert (NORTH BRISTOL NHS TRUST)
Sent: 23 December 2014 18:20
To: [log in to unmask]
Subject: Reporting Null results for the AKI warning stage test
---
This message was sent from an email address external to NHSmail but gives the appearance of being from an NHSmail (@nhs.net) address. The recipient should verify the sender and content before acting upon information contained within.
The identified sender is [log in to unmask]
---
We are aware that some laboratories are reporting null results ("0") for the AKI warning stage result without an interpretive comment This is potentially dangerous and is poor practice. The best practice document (link below) suggests that, ideally, null results should not be reported.
If this is not possible, a clear interpretive comment, preferably agreed with service users, should accompany the report containing a null result.
https://www.thinkkidneys.nhs.uk/wp-content/uploads/2014/12/AKI-Warning-Algorithm-Best-Practice-Guidance-final-publication-0112141.pdf
Dr Robert Hill
Consultant Clinical Biochemist
********************************************************************************************************************
This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it.
Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:
to do so is strictly prohibited and may be unlawful.
Thank you for your co-operation.
NHSmail is the secure email and directory service available for all NHS staff in England and Scotland NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients NHSmail provides an email address for your career in the NHS and can be accessed anywhere
********************************************************************************************************************
This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed.
If you have received this email in error please notify the originator of the message. This footer also confirms that this email message has been scanned for the presence of computer viruses but this should not be relied upon as a guarantee that the contents are virus free.
Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of the Norfolk and Norwich University Hospitals NHS Foundation Trust. The information contained in this e-mail may be subject to public disclosure under the Freedom of Information Act 2000. Unless the information is legally exempt from disclosure, the confidentiality of this e-mail and your reply cannot be guaranteed
********************************************************************************************************************
This message may contain confidential information. If you are not the intended recipient please inform the
sender that you have received the message in error before deleting it.
Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:
to do so is strictly prohibited and may be unlawful.
Thank you for your co-operation.
NHSmail is the secure email and directory service available for all NHS staff in England and Scotland
NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients
NHSmail provides an email address for your career in the NHS and can be accessed anywhere
********************************************************************************************************************
|
