Dear Chris,

We have a similar issue with iSOFT telepath. I understand the software has to produce an AKI 'result' as a default even if there is no AKI. The only other option is to have AKI=NA but we have used that already for primary care and paeds. To extend that to all the rest would have results in comment overload. We have put an FAQ on the hospital intranet and attached a comment to the AKI=0 saying either Serum Creatinine has not significantly risen or there is no previous result to compare from the last year.

 It would be good if iSOFT is able to suppress the AKI=O in the next software release. I think if there no AKI then no AKI result/comment should appear on the report.

Kind regards

A

Dr Ahmed Waise FRCP FRCPath
Consultant Chemical Pathologist (Metabolic Medicine)
Clinical Biochemistry
Poole Hospital NHSFT
Longfleet Road, Poole, 
Dorset BH15 2JB
 
Tel 01202 442152
[log in to unmask]
-----Original Message-----
From: ACB AKI-Detection-Algorithm [mailto:[log in to unmask]] On Behalf Of Chaloner Christopher (RW3) CMFT Manchester
Sent: 05 January 2015 14:42
To: [log in to unmask]
Subject: Re: ACB-AKI-ALGORITHM Digest - 23 Dec 2014 to 24 Dec 2014 (#2014-20)

Dear All,

The AKI algorithm in iSOFTs APEX LIMS  will not allow us to withold null results (AKI=0). It would be helpful if people could share any interpretative comment they're issuing / planning to issue with null results. 

Thanks in anticipation,

Dr Christopher Chaloner FRCPath
Consultant Paediatric Biochemist
Deputy Head of Service, Clinical Biochemistry CMFT

Tel: 0161 701 2752

________________________________________
From: ACB AKI-Detection-Algorithm [[log in to unmask]] on behalf of ACB-AKI-ALGORITHM automatic digest system [[log in to unmask]]
Sent: 25 December 2014 00:00
To: [log in to unmask]
Subject: ACB-AKI-ALGORITHM Digest - 23 Dec 2014 to 24 Dec 2014 (#2014-20)

There is 1 message totaling 199 lines in this issue.

Topics of the day:

  1. Reporting Null results for the AKI warning stage test

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Date:    Wed, 24 Dec 2014 08:30:31 +0000
From:    Mike Bosomworth <[log in to unmask]>
Subject: Re: Reporting Null results for the AKI warning stage test

Have a great Christmas and New Year Robert.
Mike




Dr. Mike Bosomworth
Clinical Service Lead for Blood Sciences and Specialist Laboratory Medicine.
Tel. 0113 3922340
Mobile 07789 174344

>>> "Hill Robert (NORTH BRISTOL NHS TRUST)" <[log in to unmask]> 
>>> 23/12/2014 18:20 >>>
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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

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