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Implementation Problem
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Resolution: Unresolved
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Moderate
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None
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Beaumont Health
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Hospital Harm - Acute Kidney Injury
Identifying an accurate baseline will be difficult to obtain electronically. If the ‘previous 7 days’ starting at time of arrival is the range for establishing baseline, there may not be access to electronic data for this time frame. This would require manual documentation in an established field in order for the data to be pulled electronically. If we use the first 7 days of admission, this still may result in a false baseline as the patient is being admitted for an acute illness and serum creatinine may not reflect what the patient’s true baseline would be.
To meet the numerator, a ‘calculation’ would be required to identify 1.5 times the baseline creatinine. Our current EMR is not equipped for this type of calculation. This would require extensive resources to investigate the possibility and pursue development