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ACB-AKI-ALGORITHM  March 2015

ACB-AKI-ALGORITHM March 2015

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Subject:

Re: AKI staging on Apex CSC FW: ACB-CLIN-CHEM-GEN Digest - 18 Mar 2015 to 19 Mar 2015 (#2015-57)

From:

Alan Dodd <[log in to unmask]>

Reply-To:

ACB AKI-Detection-Algorithm <[log in to unmask]>

Date:

Wed, 25 Mar 2015 10:58:03 +0000

Content-Type:

text/plain

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text/plain (93 lines)

Do you have any examples of this scenario? I saw something similar in our test scripts, but assumed it was due to the other problem with APEX I highlighted (i.e. it calculates a score based on the latest result, not the current one).

Alan.

Dr Alan Dodd, Senior Clinical Scientist
Biochemistry, William Harvey Hospital
Ashford, Kent.



On Fri, 20 Mar 2015 08:52:13 +0000, Sharp Steve (NORTHERN LINCOLNSHIRE AND GOOLE NHS FOUNDATION TRUST) <[log in to unmask]> wrote:

>We also have noticed in Apex that NA and zero AKI scores appear to be inconsistently applied on some occasions. A zero score has been applied when there are no previous creatinine results, rather than NA.
>
>Steve
>
>Steve Sharp
>Blood Sciences Manager and IT Lead
>Blood Sciences Department
>Pathology
>Scunthorpe General Hospital
>Cliff Gardens
>Scunthorpe DN15 7BH
>+44(0)1724 203484
>
> New Path Links logo
>
>-----Original Message-----
>From: ACB AKI-Detection-Algorithm [mailto:[log in to unmask]] On Behalf Of Anne Dawnay
>Sent: 20 March 2015 08:12
>To: [log in to unmask]
>Subject: AKI staging on Apex CSC FW: ACB-CLIN-CHEM-GEN Digest - 18 Mar 2015 to 19 Mar 2015 (#2015-57)
>
>Hi Kath, in the interests of info sharing, am sending your email  on to the dedicated AKI mailbase that is also accessed by many involved in the programme who are not ACB.
>
>best wishes
>Anne
>Dr Anne Dawnay PhD FRCPath
>Consultant Biochemist
>Clinical  Lead for Clinical Biochemistry & Chair UCLH POCT Committee
>020 344 72954 direct dial
>
>
>Date:    Thu, 19 Mar 2015 17:14:41 +0000
>From:    Katharine Hayden <[log in to unmask]>
>Subject: Apex AKI Alerts
>
>Since going live with AKI Alerts on Apex we have identifed errors in the generation of some alerts and have had to switch them off.
>
>The issue relates to AKI Stage NA being generated even in the presence of a previous creatinine result.
>
>CSC are investigating and think this relates to the previous results having been archived.
>
>Could any Apex users who have gone live with AKI Alerts let me know if they have experienced any similar problems and also at what interval you archive results?
>
>Apologies to non Apex users.
>
>Kath Hayden
>Consultant Clinical Biochemist
>Manchester Royal Infirmary
>
>
>
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