Impacting Safe Medication Administration and Glycemic Control through Diabetes Education

2.50
Hdl Handle:
http://hdl.handle.net/10755/162534
Type:
Presentation
Title:
Impacting Safe Medication Administration and Glycemic Control through Diabetes Education
Abstract:
Impacting Safe Medication Administration and Glycemic Control through Diabetes Education
Conference Sponsor:Emergency Nurses Association
Conference Year:2009
Author:Muro, Teri, RN, BSN, CCRN, CDE
P.I. Institution Name:Duke University Medical Center
Title:Staff RN; Certified Diabetes Educator, Emergency Dep
Contact Address:Erwin Rd, Durham, NC, 27703, USA
Co-Authors:Ann White, RN, MSN, CCNS, CEN; Ellen Davis, RN, MS, CDE
[Annual Conference] Clinical topic: Through the emergency department (ED) safety reporting system, trends were recognized in diabetes management negatively impacting patient outcomes. Analysis specifically identified three areas for improvement: overall staff knowledge about standards of care, skill in using an intravenous insulin infusion protocol, and access to resources. Along with this analysis, a staff survey helped to prioritize educational needs. Overall project goals were to increase resource access and staff knowledge base, standardize management protocols, reduce adverse drug events and improve patient outcomes by decreasing episodes of hypoglycemia, prolonged hyperglycemia, and length of stay.

Implementation: In order to highlight evidence of best care for patients with diabetes, the American Diabetes Association (ADA) Clinical Practice Guidelines were reviewed. Then organization experts were consulted. A computer-based educational module outlining key aspects of the Adult Intravenous Insulin Infusion Protocol was developed and implemented. Computerized technology was utilized to facilitate internet access, further enhancing the value of the educational tool. A quiz followed the didactic portion, providing immediate feedback regarding validation of acquired knowledge. The next step in education was the development of Lunch-n-Learn presentations based on the American Association of Diabetes Educators (AADE) 7 Self-Care Behaviors' framework. These two educational strategies established a baseline from which to further evaluate the staff's application of knowledge in the clinical setting through post-education analysis by auditing charts. Discussion of case scenarios was included to elicit critical thinking. To further support nursing staff, the ED intranet was used to create a repository of clinical and educational documents for immediate access to expedite quality standardized patient care. A dedicated cabinet with electronic inventory was designated for patient education and diabetes self management supplies such as glucose monitors and insulin starter kits.

Outcomes: Throughout this project, the number and characteristics of adverse drug events were monitored related to ED patients presenting with diabetes and/or complications from diabetes. A downward trend in frequency of adverse drug events related to diabetes management was noted. Future goals include substantiation of the benefit of these interventions through chart review. A secondary measure will include an increased focus on patient follow-up after discharge in order to validate consistent patient education regarding self-care behaviors.

Recommendations: With the prevalence of diabetes in our society and the projection for that to increase, knowledge and skill for managing patients with diabetes in the ED is paramount. Providing concentrated, accessible, evidence-based education and resources for the emergency nurse is one way to improve outcomes for this patient population.

Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImpacting Safe Medication Administration and Glycemic Control through Diabetes Educationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162534-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Impacting Safe Medication Administration and Glycemic Control through Diabetes Education</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Muro, Teri, RN, BSN, CCRN, CDE</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Duke University Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Staff RN; Certified Diabetes Educator, Emergency Dep</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Erwin Rd, Durham, NC, 27703, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Ann White, RN, MSN, CCNS, CEN; Ellen Davis, RN, MS, CDE</td></tr><tr><td colspan="2" class="item-abstract">[Annual Conference] Clinical topic: Through the emergency department (ED) safety reporting system, trends were recognized in diabetes management negatively impacting patient outcomes. Analysis specifically identified three areas for improvement: overall staff knowledge about standards of care, skill in using an intravenous insulin infusion protocol, and access to resources. Along with this analysis, a staff survey helped to prioritize educational needs. Overall project goals were to increase resource access and staff knowledge base, standardize management protocols, reduce adverse drug events and improve patient outcomes by decreasing episodes of hypoglycemia, prolonged hyperglycemia, and length of stay. <br/><br/>Implementation: In order to highlight evidence of best care for patients with diabetes, the American Diabetes Association (ADA) Clinical Practice Guidelines were reviewed. Then organization experts were consulted. A computer-based educational module outlining key aspects of the Adult Intravenous Insulin Infusion Protocol was developed and implemented. Computerized technology was utilized to facilitate internet access, further enhancing the value of the educational tool. A quiz followed the didactic portion, providing immediate feedback regarding validation of acquired knowledge. The next step in education was the development of Lunch-n-Learn presentations based on the American Association of Diabetes Educators (AADE) 7 Self-Care Behaviors' framework. These two educational strategies established a baseline from which to further evaluate the staff's application of knowledge in the clinical setting through post-education analysis by auditing charts. Discussion of case scenarios was included to elicit critical thinking. To further support nursing staff, the ED intranet was used to create a repository of clinical and educational documents for immediate access to expedite quality standardized patient care. A dedicated cabinet with electronic inventory was designated for patient education and diabetes self management supplies such as glucose monitors and insulin starter kits. <br/><br/>Outcomes: Throughout this project, the number and characteristics of adverse drug events were monitored related to ED patients presenting with diabetes and/or complications from diabetes. A downward trend in frequency of adverse drug events related to diabetes management was noted. Future goals include substantiation of the benefit of these interventions through chart review. A secondary measure will include an increased focus on patient follow-up after discharge in order to validate consistent patient education regarding self-care behaviors. <br/><br/>Recommendations: With the prevalence of diabetes in our society and the projection for that to increase, knowledge and skill for managing patients with diabetes in the ED is paramount. Providing concentrated, accessible, evidence-based education and resources for the emergency nurse is one way to improve outcomes for this patient population.<br/><br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:29:49Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:29:49Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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