Hyperkalaemia Warnings (HP067)

Hyperkalaemia Warnings (HP067)

Hyperkalaemia Warnings (HP067)

Overview/Purpose

This Hyperkalaemia Warnings tools is a protocol alert EMIS Web, which has been designed to alert users where hyperkalaemia has been present either recently or in the past.

The alert is designed to show users that:
  1. The patient has had hyperkalaemia
  2. Whether this is a recent problem or a historic issue
  3. If the patient is on drugs that may contribute to this
  4. If the patient has associated acute kidney injury
  5. If the patient has recently been acutely unwell

What does it do?

An alert will show on any patients within the following cohorts:
Mild Hyperkalaemia:
  1. Patients with a potassium result 5.0 - 5.9 are shown mild hyperkalaemia information, with more detailed information about those with acute illness or on renin angiotensin system drugs
Moderate Hyperkalaemia:
  1. Patients with a potassium result of 6.0 - 6.4 are shown moderate hyperkalaemia information, with more detailed information about AKI, those with acute illness or on renin angiotensin system drugs
Severe Hyperkalaemia:
  1. Patients with a potassium result of 6.5 or higher are shown severe hyperkalaemia information,

Why is it important?

Severe index hyperkalaemia events are associated with adverse outcomes, including arrhythmia and mortality. Despite this, retesting following an index event has been shown to be uncommon, and incidence of recurrence is much higher than that of the index event. Horne et al. There has been an associated CAS alert

What does it look like?

The pop ups shown will show if the potassium result was within the last week.  The alerts are shown regardless of when the result was received.

Mild Hyperkalaemia

Popup:


Alert:


Moderate Hyperkalaemia

Pop up:


Alert:


Severe Hyperkalaemia

Pop up:


Alert:


How to get it

This is a base handy protocol and will be installed in all sites.  If you can't see this within your system please click here to submit a ticket.

System Triggers

System trigger: Load patient record
Run mode: Always run
Enable trigger for: All job categories


Change management considerations

Your team need to be aware that this alert will highlight hyperkalaemia to them.





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