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Audit of communication with GPs regarding renal monitoring in CHF patients: a comment from primary care

September 2013 Br J Cardiol 2013;20:116

Audit of communication with GPs regarding renal monitoring in CHF patients: a comment from primary care

Dr John B Pittard

Abstract

The Sheffield audit of heart failure discharge advice given to GPs by Kanaan, Bashforth and  Al-Mohammed (see pages 113–16) illustrates perfectly the imperfections of implementing research findings and guidelines into every day clinical practice. The paper rightly points out the selective nature of the entry criteria of patients to RALES (Randomised Aldactone Evaulation Study).1 Most research trial patients are more scrupulously managed and monitored than in real world circumstances. The traditional way of organising discharge summaries usually defaults to the least experienced junior staff. The perception is often that a career in account

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