Perhaps someone high up in the NHS can enforce labs to report creatinine clearance1 or GP computer systems to calculate this routinely in all patients as the way forward. This can then integrate with prescribing systems to flag renal alerts.
Leaving it to individual clinicians, practices, CCGs, or federations will leave gaps, probably for those most at risk.
The technology exists and is simple, but needs the system to adopt it. Why does this not just ‘happen’?
- © British Journal of General Practice 2018