2.50
Hdl Handle:
http://hdl.handle.net/10755/153961
Type:
Presentation
Title:
The Use of Glucometrics to Evaluate Quality of Inpatient Glycemic Control
Abstract:
The Use of Glucometrics to Evaluate Quality of Inpatient Glycemic Control
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Chui Kui Lin, Winnie, MN
P.I. Institution Name:Winnie_chui@alexhosp.com.sg
Title:Advanced Practice Nurse, Certified Diabetes Educator
21st INRC [Research Presentation] Purpose: While outpatient glycemic control is easily assessed by the HbA1c test, no such equivalent exists for inpatients. Glucometrics is a mathematical analytical process that permits objective comparisons of inpatient glycemic control among hospitals and patient care units. It utilizes time-averaged glucose readings of which the patient-day glucose (average glucose for each patient's hospital day) is used, as it is the most reasonable metric that allows fair patient-to-patient comparison. The aim of this study is to show that glucometrics can be used as a tool to evaluate the quality of inpatient glycemic control in a general medical ward. Methods: Capillary blood glucose readings from a general medical ward over a two-month period were collected using the hospital Cobas-IT system. The readings were converted into patient-day average values using the glucometrics software developed at Yale University. The readings were benchmarked against the best patient care unit in Yale-New Haven hospital who had achieved 65% of patient-day mean of between 3.9 to 8.3 mmol/L. Results: A total of 6245 samples were collected over the study period with 324 patient-days. The median patient-day glucose was 7.3 mmol/L. 60.5% of patient-days had glucose readings within our defined target range of 3.9 to 8.3 mmol/L. 3.4 % included hypoglycemia of < 3.9 mmol/L and 6.8% had severe hyperglycemia of > 16.6 mmol/L The median duration of glucose monitoring was 1.3 days and the median number of glucose samples per patient day was 20. Conclusion: We achieved 60.5% of patient-days with glucose readings within the target range, which is lower than Yale-New Haven figure of 65%. This study demonstrates that we can use Glucometrics to compare inpatient diabetes management across institution. This helps us to benchmark against other center of excellence for improvement.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Use of Glucometrics to Evaluate Quality of Inpatient Glycemic Controlen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153961-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Use of Glucometrics to Evaluate Quality of Inpatient Glycemic Control</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chui Kui Lin, Winnie, MN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Winnie_chui@alexhosp.com.sg</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Advanced Practice Nurse, Certified Diabetes Educator</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Winnie_chui@alexhosp.com.sg</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Research Presentation] Purpose: While outpatient glycemic control is easily assessed by the HbA1c test, no such equivalent exists for inpatients. Glucometrics is a mathematical analytical process that permits objective comparisons of inpatient glycemic control among hospitals and patient care units. It utilizes time-averaged glucose readings of which the patient-day glucose (average glucose for each patient's hospital day) is used, as it is the most reasonable metric that allows fair patient-to-patient comparison. The aim of this study is to show that glucometrics can be used as a tool to evaluate the quality of inpatient glycemic control in a general medical ward. Methods: Capillary blood glucose readings from a general medical ward over a two-month period were collected using the hospital Cobas-IT system. The readings were converted into patient-day average values using the glucometrics software developed at Yale University. The readings were benchmarked against the best patient care unit in Yale-New Haven hospital who had achieved 65% of patient-day mean of between 3.9 to 8.3 mmol/L. Results: A total of 6245 samples were collected over the study period with 324 patient-days. The median patient-day glucose was 7.3 mmol/L. 60.5% of patient-days had glucose readings within our defined target range of 3.9 to 8.3 mmol/L. 3.4 % included hypoglycemia of &lt; 3.9 mmol/L and 6.8% had severe hyperglycemia of &gt; 16.6 mmol/L The median duration of glucose monitoring was 1.3 days and the median number of glucose samples per patient day was 20. Conclusion: We achieved 60.5% of patient-days with glucose readings within the target range, which is lower than Yale-New Haven figure of 65%. This study demonstrates that we can use Glucometrics to compare inpatient diabetes management across institution. This helps us to benchmark against other center of excellence for improvement.</td></tr></table>en_GB
dc.date.available2011-10-26T12:38:28Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:38:28Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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