Consistency of alerts generated by, and implementation of, the NHS England acute kidney injury detection algorithm in English laboratories.
Ryan E AylwardAnna CasulaNicki TiffinYoav Ben-ShlomoBrian RaynerKate BirnieFergus John CaskeyPublished in: Journal of nephrology (2024)
Overall, alerts submitted to the UKRR are a valid source of AKI surveillance but there are concerns about inconsistent laboratory practices, incomplete adoption of the NHSE algorithm code, alert suppression, and variable interpretation of guidelines. Future efforts should audit and support laboratories with low agreement rates, and explore reasons for lower agreement in individuals with pre-existing CKD.
Keyphrases
- acute kidney injury
- primary care
- machine learning
- cardiac surgery
- healthcare
- deep learning
- quality improvement
- chronic kidney disease
- patient safety
- public health
- neural network
- current status
- clinical practice
- loop mediated isothermal amplification
- electronic health record
- clinical decision support
- label free
- quantum dots