Following on from John's question, can I ask whether there are any networked laboratories out there (in Wales or anywhere else!) reporting in the same LIMs but using enzymatic and Jaffe methods on different sites?
The best practice guidelines make this recommendation for labs still using Jaffe:
"The AKI warning may be set up for both Jaffe and enzymatic assays, but where both are in use the warning algorithm should be assay-specific"
Does anyone have any experience of trying to introduce separate AKI algorithms for enzymatic and Jaffe assays in one LIMs?
I understand that some LIMs systems may not currently have the flexibility to do this.
Peter Beresford│Consultant Clinical Biochemist
Severn Pathology
North Bristol NHS Trust, Pathology Building, Southmead Hospital,
Southmead Road, Westbury-On-Trym, Bristol BS10 5NB
Tel: 0117 3236083 │ Fax: 0117 3238377
Website: www.severnpathology.com
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From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of OConnor John (ROYAL DEVON AND EXETER NHS FOUNDATION TRUST)
Sent: 13 April 2015 10:53
To: [log in to unmask]
Subject: Re: AKI alert (Wales)
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Out of interest, do all labs in Wales run enzymatic Creatinine's?
And following on with that, do other labs currently running Jaffe, plan to move to enzymatic?.
We are currently Jaffe in Exeter, our running CV (all analysers, all controls, all levels) = 5.43% If you figure in the biological variation and use the Westgard formula to calculate what a significant rise would be between two sequential results that gives you around 14% difference.
That’s not great when your applying the >26 umol/L part of the algorithm.
Is there any national cash available to change to enzymatic, which I would love to do?.
BW John
-----Original Message-----
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Gethin Roberts
Sent: 13 April 2015 10:20
To: [log in to unmask]
Subject: AKI alert (Wales)
All labs in Wales are now live on the Intersystems TCL LIMS with the recommended UK algorithm.
This is running for both primary and secondary care.
We are currently investigating various ways of proactively communicating stage 2 and 3 alerts and providing a link from the alert in the Welsh Clinical Portal to agreed all Wales Management Guidelines.
Gethin Roberts
Wales AKI Steering Group
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