I think the patient safety alert leaves a lot of wiggle room for trusts to do what they think best – it simply states that all organisations should find someone to lead on the response to the alert and produce local guidance on dealing with high potassiums. I think it is the responsibility of that lead person to consider all the potential causes of a high potassium result and generate guidance accordingly. That guidance should certainly include pseudohyperkalaemia. I don’t think the patient safety alert is trying to tell people what to do in anyway, just asking that all organisations review current guidance and ensure it is implemented effectively.

 

The renal association document does include pseudo – see page 41. Hopefully any organisation lead responding to this alert will take that on board and talk to their lab about it J

 

Simon

 

From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of LIPPIATT, Carys (LEEDS TEACHING HOSPITALS NHS TRUST)
Sent: 15 August 2018 16:04
To: [log in to unmask]
Subject: NHSi Patient Safety Alert: Hyperkalaemia

 

EXTERNAL SENDER : This email originated from outside of the organisation. Do not click links or open attachments unless you recognise the sender and know the content is safe. If you are unsure please forward to [log in to unmask] for analysis.

Dear All,

 

We received the attached NHSi patient safety alert yesterday and have been discussing it internally.

 

Within the NHSi hyperlink (https://improvement.nhs.uk/resources/resources-to-support-safe-and-timely-management-of-hyperkalaemia) there is a signpost to  ‘Clinical Practice Guidelines for Treatment of Acute Hyperkalaemia in adults’ (UK Renal Assoc, March 2014).

 

On opening that document, on page 4 there is a clear stipulation from the  ACB as follows:

 

  

We feel that it is disappointing that pseudohyperkalaemia is not mentioned in the Patient Safety Alert and are wondering what other colleagues’ views are?

 

Kind Regards,

 

Carys Lippiatt

 

Description: Description: Description: Description: Description: Description: cid:image001.png@01D23500.9FE89E20

Dr Carys Lippiatt PhD FRCPath

Clinical Lead for Specialist Laboratory Medicine

Clinical Lead for Pathology Research and Innovation

Leeds Teaching Hospitals NHS Trust

Beckett Street, Leeds LS9 7TF

 

( 0113 20 64852   |  * [log in to unmask]    

 

 

 

 



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