Many thanks . We are talking to NHSE about whether a gap in reporting is possible as the manual process is staff intensive as you say. I am definitely leaning on IT but its not looking good at the moment!
Best Wishes
Fiona
Mrs Fiona Bryant
Transformation Director
The Pathology Partnership
Iconix One | Iconix Park | London Road | Pampisford | Cambridge | CB22 3EG
Tel: 01223632902| Mobile: 07961337964
[log in to unmask] | www.thepathologypartnership.info
-----Original Message-----
From: ACB AKI-Detection-Algorithm [mailto:[log in to unmask]] On Behalf Of Anne Dawnay
Sent: 30 October 2015 08:39
To: [log in to unmask]
Subject: changing LIMS
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Dear Fiona, my sympathies but I'm not aware of anyone having undergone something similar. Yours sounds a not unreasonable approach if you have the staff available. Alternatively inform your users that there will be a gap due to reasons beyond your control and lean on IT to do it faster.
Best wishes
Anne
Dr Anne Dawnay PhD FRCPath
Consultant Biochemist for HSL at UCLH
Clinical Lead UCLH Clinical Biochemistry & Chair UCLH POCT Committee Tel 020 344 72954 direct dial
Date: Thu, 29 Oct 2015 17:21:36 +0000
From: "Bryant Fiona (THE PATHOLOGY PARTNERSHIP)" <[log in to unmask]>
Subject: Re: ?AKI ?CKD patient results
Is anyone able to help with the following please?
We are about to roll out a new Laboratory Information Management System (LIMS) across 5 of the Partnership’s 6 sites (Cambridge recently implemented a new LIMS). The new LIMS will be a single system (CliniSys’s Winpath Enterprise) across the 5 sites. The majority of the Partnership’s site already report nationally on AKI and some have CQuins related to the reporting. The intention is to extract a year’s worth of creatinine data from the legacy LIMS systems and upload the data, once validated, into winpath enterprise, to allow consolidation of the relevant data for the algorithm. The issue we have is that, between the time when we take the main data extract from the legacy LIMS and upload it (having put it through a robust validation process), and when the new LIMS is implemented, there will be around a two –four week gap where the full and up to date creatinine data is not available in one system alone. We are unable to run two results feeds to legacy and new LIMS at one site, so we need a process to deal with the two week (or longer) gap. We had hoped the gap would be considerably less but a number of problems have arisen in planning the realistic timescales for this. Whilst we can more easily manage the reporting issues this may raise, we need to ensure that we manage the clinical risks to patients that may arise from the gap
One suggestion is that we extract relevant data up to the cutover to new LIMS to Excel and calculate the mean creatinine level for patients and then extract the latest creatinine results from the new LIMS into excel and run a comparison to identify flagged cases.
I am keen to find out as quickly as possible what other colleagues may have done in similar circumstances to see if we can learn from previous lessons in managing this appropriately.
Best Wishes
Fiona
Mrs Fiona Bryant
Transformation Director
The Pathology Partnership
Iconix One | Iconix Park | London Road | Pampisford | Cambridge | CB22 3EG
Tel: 01223632902| Mobile: 07961337964
[log in to unmask]<mailto:[log in to unmask]> | www.thepathologypartnership.info<http://www.thepathologypartnership.info/>
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