Hi Anna
We are on Winpath V5 and found a similar problem trying to set AKI 2 and 3 to phone from the ranges table.
We have got around this by pushing AKI 2 and 3 to the phone queue within the result rules instead using the [DO] ADD TO PHONE syntax. Using this approach we have also been able to add additional rules to not phone AKI 2 for example if there was an AKI 2 for the patient on the previous day (to mitigate alert fatigue).
I can send you a copy of our rules if you would like.
Best wishes
Craig
Craig McKibbin PhD
Clinical Scientist
Surrey Pathology Services
Royal Surrey County Hospital
Guildford
GU2 7XX
Tel: +44 (0)1483 571122 x4024
________________________________________
From: ACB AKI-Detection-Algorithm [[log in to unmask]] On Behalf Of ACB-AKI-ALGORITHM automatic digest system [[log in to unmask]]
Sent: 26 November 2015 00:04
To: [log in to unmask]
Subject: ACB-AKI-ALGORITHM Digest - 5 Nov 2015 to 25 Nov 2015 (#2015-16)
There are 5 messages totaling 2026 lines in this issue.
Topics of the day:
1. Phoning AKI 2 & 3s (5)
----------------------------------------------------------------------
Date: Wed, 25 Nov 2015 13:23:06 +0000
From: "Barton Anna (ROYAL CORNWALL HOSPITALS NHS TRUST)"
<[log in to unmask]>
Subject: Phoning AKI 2 & 3s
Dear AKI Mailbase,
We went live with the automated AKI algorithm last week. We had decided to phone the AKI 2 & 3s, as we've done in the past with our old AKI system, but now on a 24/7 basis thanks to the algorithm. We also decided to considerably amend our creatinine phoning limits to reflect this new 24/7 AKI service. Everything was in place- new phone limits and new lab SOPs etc., however, despite it all working in testing we've found that when we went live the AKI 2 & 3s fail to go to the phone queue.
Clinisys have admitted that there is a known issue with calculated results going to the phone queue and that is the issues with the AKI 2 & 3s.
They did offer a solution but this sent all biochemistry results to the phone queue which we've decided is not workable.
We have therefore had to temporarily re-instigate our old creatinine telephone limits and the Duty Biochemist is manually pushing AKI 2 & 3 results to the phone queue during the day. This is defeating the object of the 24/7 automated algorithm service.
We are waiting on Clinisys for a solution.
We are wondering if other laboratories (Clinisys or not) have had the same issues and what the solution was?
Kind regards,
Anna
Miss Anna Barton
Principal Clinical Biochemist
(& Editor of Lab Med News)
Royal Cornwall Hospital, Truro
[log in to unmask]<mailto:[log in to unmask]>
Tel: 01872 252566
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------------------------------
Date: Wed, 25 Nov 2015 14:16:38 +0000
From: "Mascall, Gary (WRH Biochemistry Medical Staff)"
<[log in to unmask]>
Subject: Re: Phoning AKI 2 & 3s
Dear Anna,
Unfortunately, as our WinPath is currently down following a flood where our servers were waterlogged, I cannot check things out, as the temporary solution we are working with is a little bit brain dead.
However, I spoke with our IT person who said he can’t see the problem, it is a simple rule along the lines of if AKI=2 or 3 then add to phone queue, same as for any other test.
When we manage to get back up, maybe next week now, he will check out how he set this up.
Best wishes,
Kind regards,
Gary Mascall
Gary Mascall
Consultant in Clinical Biochemistry
Worcestershire Acute Hospitals NHS Trust
www.worcsacute.nhs.uk<http://www.worcsacute.nhs.uk/>
Trust email: [log in to unmask]
NHS Net email: [log in to unmask]
Tel: 01905 760760 extn 30214
[pride]
From: ACB AKI-Detection-Algorithm [mailto:[log in to unmask]] On Behalf Of Barton Anna (ROYAL CORNWALL HOSPITALS NHS TRUST)
Sent: 25 November 2015 13:23
To: [log in to unmask]
Subject: Phoning AKI 2 & 3s
---
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]
---
Dear AKI Mailbase,
We went live with the automated AKI algorithm last week. We had decided to phone the AKI 2 & 3s, as we’ve done in the past with our old AKI system, but now on a 24/7 basis thanks to the algorithm. We also decided to considerably amend our creatinine phoning limits to reflect this new 24/7 AKI service. Everything was in place- new phone limits and new lab SOPs etc., however, despite it all working in testing we’ve found that when we went live the AKI 2 & 3s fail to go to the phone queue.
Clinisys have admitted that there is a known issue with calculated results going to the phone queue and that is the issues with the AKI 2 & 3s.
They did offer a solution but this sent all biochemistry results to the phone queue which we’ve decided is not workable.
We have therefore had to temporarily re-instigate our old creatinine telephone limits and the Duty Biochemist is manually pushing AKI 2 & 3 results to the phone queue during the day. This is defeating the object of the 24/7 automated algorithm service.
We are waiting on Clinisys for a solution.
We are wondering if other laboratories (Clinisys or not) have had the same issues and what the solution was?
Kind regards,
Anna
Miss Anna Barton
Principal Clinical Biochemist
(& Editor of Lab Med News)
Royal Cornwall Hospital, Truro
[log in to unmask]<mailto:[log in to unmask]>
Tel: 01872 252566
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------------------------------
Date: Wed, 25 Nov 2015 14:54:57 +0000
From: "JONES Stuart (Pathology) (RF4) BHR Hospitals"
<[log in to unmask]>
Subject: Re: Phoning AKI 2 & 3s
Hi Anna, it doesn’t work for us if we use the range table i.e. AKI “Phone hi” at 2, but it does work via result rule i.e. AKI = 3 [THEN] ADD TO PHONE.
Regards,
Stuart
From: ACB AKI-Detection-Algorithm [mailto:[log in to unmask]] On Behalf Of Barton Anna (ROYAL CORNWALL HOSPITALS NHS TRUST)
Sent: 25 November 2015 13:23
To: [log in to unmask]
Subject: Phoning AKI 2 & 3s
---
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]<mailto:[log in to unmask]>
---
Dear AKI Mailbase,
We went live with the automated AKI algorithm last week. We had decided to phone the AKI 2 & 3s, as we’ve done in the past with our old AKI system, but now on a 24/7 basis thanks to the algorithm. We also decided to considerably amend our creatinine phoning limits to reflect this new 24/7 AKI service. Everything was in place- new phone limits and new lab SOPs etc., however, despite it all working in testing we’ve found that when we went live the AKI 2 & 3s fail to go to the phone queue.
Clinisys have admitted that there is a known issue with calculated results going to the phone queue and that is the issues with the AKI 2 & 3s.
They did offer a solution but this sent all biochemistry results to the phone queue which we’ve decided is not workable.
We have therefore had to temporarily re-instigate our old creatinine telephone limits and the Duty Biochemist is manually pushing AKI 2 & 3 results to the phone queue during the day. This is defeating the object of the 24/7 automated algorithm service.
We are waiting on Clinisys for a solution.
We are wondering if other laboratories (Clinisys or not) have had the same issues and what the solution was?
Kind regards,
Anna
Miss Anna Barton
Principal Clinical Biochemist
(& Editor of Lab Med News)
Royal Cornwall Hospital, Truro
[log in to unmask]<mailto:[log in to unmask]>
Tel: 01872 252566
P Save Paper - Do you really need to print this e-mail?
********************************************************************************************************************
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
********************************************************************************************************************
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This communication, together with any files or attachments transmitted with
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------------------------------
Date: Wed, 25 Nov 2015 16:03:13 +0000
From: "Barton Anna (ROYAL CORNWALL HOSPITALS NHS TRUST)"
<[log in to unmask]>
Subject: Re: Phoning AKI 2 & 3s
Hello,
Thank you for your replies.
Talking to our Path IT guy, he has tried the ‘AKI = 3 [THEN] ADD TO PHONE’ style rules, but rather than sending just the AKI to the phone list it sends ALL the tests associated with that sample number to the phone list.
Kind regards,
Anna
Miss Anna Barton
Principal Clinical Biochemist
(& Editor of Lab Med News)
Royal Cornwall Hospital, Truro
[log in to unmask]<mailto:[log in to unmask]>
Tel: 01872 252566
P Save Paper - Do you really need to print this e-mail?
From: ACB AKI-Detection-Algorithm [mailto:[log in to unmask]] On Behalf Of JONES Stuart (Pathology) (RF4) BHR Hospitals
Sent: 25 November 2015 14:55
To: [log in to unmask]
Subject: Re: Phoning AKI 2 & 3s
Hi Anna, it doesn’t work for us if we use the range table i.e. AKI “Phone hi” at 2, but it does work via result rule i.e. AKI = 3 [THEN] ADD TO PHONE.
Regards,
Stuart
From: ACB AKI-Detection-Algorithm [mailto:[log in to unmask]] On Behalf Of Barton Anna (ROYAL CORNWALL HOSPITALS NHS TRUST)
Sent: 25 November 2015 13:23
To: [log in to unmask]<mailto:[log in to unmask]>
Subject: Phoning AKI 2 & 3s
---
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]<mailto:[log in to unmask]>
---
Dear AKI Mailbase,
We went live with the automated AKI algorithm last week. We had decided to phone the AKI 2 & 3s, as we’ve done in the past with our old AKI system, but now on a 24/7 basis thanks to the algorithm. We also decided to considerably amend our creatinine phoning limits to reflect this new 24/7 AKI service. Everything was in place- new phone limits and new lab SOPs etc., however, despite it all working in testing we’ve found that when we went live the AKI 2 & 3s fail to go to the phone queue.
Clinisys have admitted that there is a known issue with calculated results going to the phone queue and that is the issues with the AKI 2 & 3s.
They did offer a solution but this sent all biochemistry results to the phone queue which we’ve decided is not workable.
We have therefore had to temporarily re-instigate our old creatinine telephone limits and the Duty Biochemist is manually pushing AKI 2 & 3 results to the phone queue during the day. This is defeating the object of the 24/7 automated algorithm service.
We are waiting on Clinisys for a solution.
We are wondering if other laboratories (Clinisys or not) have had the same issues and what the solution was?
Kind regards,
Anna
Miss Anna Barton
Principal Clinical Biochemist
(& Editor of Lab Med News)
Royal Cornwall Hospital, Truro
[log in to unmask]<mailto:[log in to unmask]>
Tel: 01872 252566
P Save Paper - Do you really need to print this e-mail?
********************************************************************************************************************
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
********************************************************************************************************************
Barking, Havering & Redbridge University Hospitals NHS Trust: Working to make our hospitals better.
This communication, together with any files or attachments transmitted with
it contains information which is confidential and may be subject to legal
privilege and is intended solely for the use by the person(s) or entity to
whom it is addressed. If you are not the intended recipient you must not
copy, distribute, publish or take any action in reliance on it. If you have
received this communication in error, please notify
[log in to unmask]<mailto:[log in to unmask]> and delete it from your computer systems.
Barking, Havering & Redbridge University Hospitals NHS Trust reserves the
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email are protected under international copyright law.
To save energy and paper please print this email only if you really need to.
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Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:
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Thank you for your co-operation.
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NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients
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------------------------------
Date: Wed, 25 Nov 2015 16:34:39 +0000
From: "Boltiador, Pia" <[log in to unmask]>
Subject: Re: Phoning AKI 2 & 3s
Hello Ana,
I think that’s because the pushing of results to queues work by work sections. If you only want AKI to be queued separately, they need to be in a separate work section. The downside of doing it that AKI 1 will not be going into the routine biochemistry queue. A separate rule to push AKI 1 to the routine biochem queue will be required if this is what you want.
Thank you.
Kind regards,
Pia
Tel no. 020 8661 6217 Please note new number
Planned leave: 8-28 December, 2015
From: ACB AKI-Detection-Algorithm [mailto:[log in to unmask]] On Behalf Of Barton Anna (ROYAL CORNWALL HOSPITALS NHS TRUST)
Sent: 25 November 2015 16:03
To: [log in to unmask]
Subject: Re: Phoning AKI 2 & 3s
---
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]<mailto:[log in to unmask]>
---
Hello,
Thank you for your replies.
Talking to our Path IT guy, he has tried the ‘AKI = 3 [THEN] ADD TO PHONE’ style rules, but rather than sending just the AKI to the phone list it sends ALL the tests associated with that sample number to the phone list.
Kind regards,
Anna
Miss Anna Barton
Principal Clinical Biochemist
(& Editor of Lab Med News)
Royal Cornwall Hospital, Truro
[log in to unmask]<mailto:[log in to unmask]>
Tel: 01872 252566
P Save Paper - Do you really need to print this e-mail?
From: ACB AKI-Detection-Algorithm [mailto:[log in to unmask]] On Behalf Of JONES Stuart (Pathology) (RF4) BHR Hospitals
Sent: 25 November 2015 14:55
To: [log in to unmask]<mailto:[log in to unmask]>
Subject: Re: Phoning AKI 2 & 3s
Hi Anna, it doesn’t work for us if we use the range table i.e. AKI “Phone hi” at 2, but it does work via result rule i.e. AKI = 3 [THEN] ADD TO PHONE.
Regards,
Stuart
From: ACB AKI-Detection-Algorithm [mailto:[log in to unmask]] On Behalf Of Barton Anna (ROYAL CORNWALL HOSPITALS NHS TRUST)
Sent: 25 November 2015 13:23
To: [log in to unmask]<mailto:[log in to unmask]>
Subject: Phoning AKI 2 & 3s
---
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]<mailto:[log in to unmask]>
---
Dear AKI Mailbase,
We went live with the automated AKI algorithm last week. We had decided to phone the AKI 2 & 3s, as we’ve done in the past with our old AKI system, but now on a 24/7 basis thanks to the algorithm. We also decided to considerably amend our creatinine phoning limits to reflect this new 24/7 AKI service. Everything was in place- new phone limits and new lab SOPs etc., however, despite it all working in testing we’ve found that when we went live the AKI 2 & 3s fail to go to the phone queue.
Clinisys have admitted that there is a known issue with calculated results going to the phone queue and that is the issues with the AKI 2 & 3s.
They did offer a solution but this sent all biochemistry results to the phone queue which we’ve decided is not workable.
We have therefore had to temporarily re-instigate our old creatinine telephone limits and the Duty Biochemist is manually pushing AKI 2 & 3 results to the phone queue during the day. This is defeating the object of the 24/7 automated algorithm service.
We are waiting on Clinisys for a solution.
We are wondering if other laboratories (Clinisys or not) have had the same issues and what the solution was?
Kind regards,
Anna
Miss Anna Barton
Principal Clinical Biochemist
(& Editor of Lab Med News)
Royal Cornwall Hospital, Truro
[log in to unmask]<mailto:[log in to unmask]>
Tel: 01872 252566
P Save Paper - Do you really need to print this e-mail?
********************************************************************************************************************
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
********************************************************************************************************************
Barking, Havering & Redbridge University Hospitals NHS Trust: Working to make our hospitals better.
This communication, together with any files or attachments transmitted with
it contains information which is confidential and may be subject to legal
privilege and is intended solely for the use by the person(s) or entity to
whom it is addressed. If you are not the intended recipient you must not
copy, distribute, publish or take any action in reliance on it. If you have
received this communication in error, please notify
[log in to unmask]<mailto:[log in to unmask]> and delete it from your computer systems.
Barking, Havering & Redbridge University Hospitals NHS Trust reserves the
right to monitor all communications for lawful purposes. Receipt of this email
does not imply consent to use or provide this email address, or any others
contained therein, to any third party for any purposes. The contents of this
email are protected under international copyright law.
To save energy and paper please print this email only if you really need to.
_____________________________________________________________________________
This email has been scanned for viruses using antivirus software by
Barking, Havering & Redbridge University Hospitals NHS Trust. Whilst every
care is taken to avoid the transmission of virus code; please ensure that you
have up to date virus detection software before opening any E-mail
messages or attachments
______________________________________________________________________________
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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.
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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
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------------------------------
End of ACB-AKI-ALGORITHM Digest - 5 Nov 2015 to 25 Nov 2015 (#2015-16)
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