Hi Rebecca, we too can currently only use the previous creatinine as the
'baseline' since most LIMS can currently do nothing more sophisticated.
However we pick up significant numbers of relevant AKI with 24/7
automated flagging, BMS phoning, and automated emails to ITU outreach
and the duty biochemist.
The ACB recommendation is about where we want to be and to document what
we require from our LIMS suppliers. Meanwhile most labs can do some
useful and relevant AKI flagging with what they have - don't let lack of
perfection stand in the way of making a start. Just audit before you go
live. You're very welcome to contact us directly to find out more.
best wishes
Anne
Dr Anne Dawnay PhD FRCPath
Clinical Lead for Clinical Biochemistry
020 344 72954
Date: Thu, 24 Oct 2013 12:20:12 +0100
From: "Leyland Rebecca (LUTON AND DUNSTABLE UNIVERSITY HOSPITAL NHS
FOUNDATION TRUST)" <[log in to unmask]>
Subject: AKI e-alerts
Dear all,
We are currently investigating ways to set up an e-alert for AKI at our
trust. At present our LIMS system will not support this function so we
are considering the use of Sunquest ICE for this purpose.
The current issue we have is the identification of the 'baseline'
creatinine result, ideally this would fit the criteria of the ACB
recommendations (lowest result within 7 days or median result within 365
days). However, we can only enable the rule to use the previous result.
Any help, thoughts, general IT wisdom on this matter would be greatly
appreciated. If anyone is currently using Sunquest ICE for this or a
similar purpose it would be very useful to discuss this with you.
Many Thanks
Rebecca
Rebecca Leyland
Principal Clinical Biochemist
Luton and Dunstable NHS Foundation Trust
------------------------------------------------------------------------
This email is confidential and is intended solely for the person or
entity to whom it is addressed. If this is not you, please forward the
message to [log in to unmask] We have scanned this email
before sending it, but cannot guarantee that malicious software is
absent and we shall carry no liability in this regard.
We advise that information intended to be kept confidential should not
be sent by email. We also advise that health concerns should be
discussed with a medical professional in person or by telephone.
NHS 111 can also provide advice. We shall not be liable for any
failure to follow this advice. University College London Hospitals NHS
Foundation Trust (UCLH).
------ACB discussion List Information--------
This is an open discussion list for the academic and clinical community working in clinical biochemistry.
Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content.
ACB Web Site
http://www.acb.org.uk
Green Laboratories Work
http://www.laboratorymedicine.nhs.uk
List Archives
http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html
List Instructions (How to leave etc.)
http://www.jiscmail.ac.uk/
|