Implementing an intensive glucose management initiative: strategies for success.
Glycemic control has become a hallmark for this ICU. Collectively, staff and hospital leaders changed a culture of casual attitudes toward chaotic glycemic control to an evidence-based atmosphere of decreased mortality, which has received local and national recognition. Implementation of a protocol , which seemed radical at the time, showed significant patient outcomes. Characterized by teamwork and education, the process was developed, initiated and continually evaluated for improvement, with a cornerstone of patient safety. The rich database allows for continual analysis of outcomes.
Gerard
Sally O
SO
Fairfield University, Fairfield, CT, USA. sgerard@stamhealth.org
Neary
Valerie
V
Apuzzo
Diane
D
Giles
Mary Ellen
ME
Krinsley
James
J
D001786:Blood Glucose / Q000378:metabolism; D002985:Clinical Protocols / Q000592:standards*; D003237:Connecticut / Q000453:epidemiology; D003422:Critical Care / Q000458:organization & administration*; D016903:Drug Monitoring / Q000592:standards; D019317:Evidence-Based Medicine; D017052:Hospital Mortality; D006784:Hospitals, Teaching; D006801:Humans; D006943:Hyperglycemia / Q000097:blood / Q000453:epidemiology / Q000517:prevention & control*; D007003:Hypoglycemia / Q000097:blood / Q000453:epidemiology / Q000517:prevention & control*; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D015403:Nursing Evaluation Research; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration; D017410:Practice Guidelines as Topic; D016730:Program Development; D015397:Program Evaluation; D012307:Risk Factors; D017751:Safety Management / Q000458:organization & administration; D017749:Total Quality Management / Q000458:organization & administration
D001786:Blood Glucose; D007004:Hypoglycemic Agents; D007328:Insulin