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Blog
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Performance Improvement
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Quality Improvement is Hard but Needed: Highlights from the 2018 EndoTool User Group Meeting
On October 18th, Monarch hosted its annual EndoTool User Group Meeting bringing together clients from across the country to discuss inpatient glycemic management and the use of EndoTool. As Monarch President & CEO, Linda Beneze, stated at the beginning of the meeting, “we are much stronger together than apart,” and that became evident throughout the day. From new users to...
Conferences
EndoTool
Glycemic Management
Performance Improvement
Glycemic Management
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Moving the Needle Matters: Top Six Glycemic Optimization “Moving the Needle” Elements
As we are entering another exciting season of football, I started thinking about how the elements of a football game are a lot like solving any major problem. The players need to generate positive forward movement to continue to move the chains to get to score. In most situations other than football, we refer to this as “moving the needle,”...
Glycemic Management
Conferences
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Diabetes
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Glycemic Management
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Highlights from the American Diabetes Association 78th Scientific Sessions
The Monarch team attended the American Diabetes Association 78th Scientific Sessions in Orlando, Florida at the end of June. The annual conference highlighted new ideas and significant advances in diabetes research, treatment, and care. While multiple sessions were covered and new studies were released, two major themes emerged at this year’s event— action to address diabetes care is now needed more...
Conferences
Diabetes
Glycemic Management
EndoTool
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Glycemic Management
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Workflow
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Driving Clinical Adoption: Five Post-Implementation Evaluations
You’ve put in the time and the effort, and EndoTool® is now live in your hospital. But are you planning for the clinical adoption challenges? Whether you prefer to use the nursing process (ADPIE), Deming’s PDCA cycle, or another method of change management, the key to continuous improvement and sustainable success comes with evaluation of your intervention. Implementation of the EndoTool...
EndoTool
Glycemic Management
Workflow
Glycemic Management
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Inspire, Innovate, Influence: Celebrating National Nurses Week 2018
As the founder of modern nursing, Florence Nightingale, said, “the very first requirement in a hospital is that it should do the sick no harm.” Hospitals have an obligation to deliver safe, quality care, and this obligation can only be achieved with the support of the largest group of healthcare professionals, nurses. For more than 60 years, National Nurses Week...
Glycemic Management
Diabetes
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Glycemic Management
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Workflow
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The Eight Essential Elements of a Successful Inpatient Glycemic Management Program
Whether in the cardiac care unit or in a general hospital medicine unit, helping patients to reach glucose control is a necessary component to delivering quality care. To advance glycemic management practices, and ultimately improve patient outcomes, hospitals must have a comprehensive inpatient glycemic control program, and for it to be successful, it must include these eight essential elements: Support...
Diabetes
Glycemic Management
Workflow
Diabetes
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Glycemic Management
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IV Insulin Dosing
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Workflow
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The Role of Medical Nutrition Therapy in Successful Glycemic Management
When it comes to glycemic management in the hospital setting, hyperglycemia is present in every unit. In order to standardize care, it requires a cross functional team with multiple clinicians, staff members, and departments all working together. With March being National Nutrition Month, we are focusing on one of the most important areas of collaboration, nutrition. Understanding and monitoring a...
Diabetes
Glycemic Management
IV Insulin Dosing
Workflow
Diabetes
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EndoTool
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Glycemic Management
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Workflow
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Three Inpatient Glycemic Management Trends to Watch in 2018
“Year’s end is neither an end nor a beginning but a going on.” – Hal Borland This past year proved to be an exciting time in the advancement of diabetes care. New technology and new research are on the forefront of improving aspects of living with and even preventing diabetes. Take for instance the development of the artificial pancreas, the...
Diabetes
EndoTool
Glycemic Management
Workflow
Diabetes
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DKA
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Glycemic Management
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A Step in the Right Direction: What New Glycemic Clinical Outcomes Beyond HbA1c Mean for Hospitals
Imagine if a patient’s blood glucose was still determined through urine strip testing. Although it was once seen as a best practice, it would now be laughable and likely thought of as downright poor patient care. As medicine evolves, the best practices and guidelines must continuously be reviewed and updated to account for the current evidence-based and state-of-the-art knowledge. In...
Diabetes
DKA
Glycemic Management
A1C
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Diabetes
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Glycemic Management
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Glycemic Targets Part 2: A1C
In last week’s blog, we explained the importance of patient self-monitoring of blood glucose (SMBG), and continuous glucose monitoring (CGM) for patients with diabetes. This week, we want to go over the A1C test, goals and recommendations, and the limitations of A1C testing. What is it? According to the National Institute of Diabetes and Digestive and Kidney Diseases, the A1C...
A1C
Diabetes
Glycemic Management
Diabetes
,
Glycemic Management
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Glycemic Targets Part 1: SMBG & CGM
One of the most critical responsibilities of patients with diabetes is patient self-monitoring of blood glucose (SMBG). In order to assess glycemic levels, SMBG is available to caregivers and patients to evaluate the safety of the suggested glycemic management plan. It is not only important to check blood glucose levels, but continuous glucose monitoring (CGM) is essential to create a...
Diabetes
Glycemic Management
Glycemic Management
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Glucose Variability and Tight Glycemic Control
When it comes to glucose control, glucose variability, and the risk for hypoglycemia, often times they can be related. Even though reducing hyperglycemia and leveling HbA1c values of seven percent or less result in decreased risk of complications, the risk for hypoglycemia increases when glycemic control is tightened. Thus, hypoglycemia has been viewed as the barricade to tight glycemic control....
Glycemic Management
Cost Savings
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EndoTool
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Glycemic Management
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How Better Care Drives Value
While the amount of hospital resources wasted on medical supplies is relatively easy to calculate, the more insidious expenses – clinical personnel costs – are more difficult to quantify. However, when a Roanoke, Virginia hospital set out to improve patient outcomes by standardizing insulin dosing protocols, the facility discovered substantial savings by mechanizing this process....
Cost Savings
EndoTool
Glycemic Management
EndoTool
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Glycemic Management
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Hypothermia
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Effective Glucose Management in Therapeutic Hypothermia Can Save Patient Neurological Function
Inducing mild hypothermia in some patients with cardiac arrest and other traumatic events has proven to significantly improve their long-term neurological function. Many experts feel that this is one of the most important advancements in the history of the science of resuscitation. According to Dr. Jonathan Adler, writing in Medscape, patients who have been shown to benefit from induced hypothermia...
EndoTool
Glycemic Management
Hypothermia
Computerized Dosing
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EndoTool
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Glycemic Management
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Inpatient Glucose Management: Part 3
Glucose Management Software This blog series has been used to educate our readers on inpatient glucose management. In part 1, we explored the risks and complications, and in part 2, we explored best practices recommended by the American Diabetes Association and The Joint Commission. In this post, we will come full circle with the benefits of inpatient glucose management software....
Computerized Dosing
EndoTool
Glycemic Management
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Case Study
Discover UPMC Central Pennsylvania's approach to a 92% reduction in hypoglycemia.
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