
Evaluating the Implementation of the EndoTool Glycemic Control Software System
Objective
This retrospective randomized study compares glycemic control and related outcomes before and after implementation of a glucose management software system (EndoTool) in several intensive care and progressive care units as well as the emergency department, all of which previously used a standard paper protocol.
Setting
553-bed not-for-profit health care network.
Results
- Number of hours on an intravenous insulin drip decreased 12.5% with EndoTool, from 23.9 to 20.9 hours.
- Incidence of hypoglycemia <70 mg/dL decreased 80.6% with EndoTool, from 0.036 to 0.007 episodes per patient.
- Incidence of hyperglycemia >180 mg/dL decreased 20.9% with EndoTool, from 0.358 to 0.283 episodes per patient.
- Mean average time to target decreased 24% with EndoTool, from 3.67 to 2.78 hours.
- Mean average blood glucose decreased 6.75 mg/dL with EndoTool, from 193.24 to 186.49 mg/dL.
Conclusions
Implementation of a glucose management software system (EndoTool) promotes a culture of safety and can be expected to reduce costs, as evidenced by a wide array of improvements, including number of hours on an intravenous insulin drip as well as incidence of hypoglycemia, incidence of hyperglycemia, time to target and time in range.
Authors
Samuel John; Kacie Lauren Waters; Khatija Jivani.
Source
Published in Diabetes Spectrum, Volume 31, Issue 1, p26-30.
Year
2018
Tags
- Cost Savings
- Healthcare-Associated Infections
- Hospital-Acquired Conditions
- Hyperglycemia Reduction
- Hypoglycemia Reduction
- Length of Stay
- Surgical Site Infections
- Glucose Variability
- Mean Glucose Improvement
- Target Goal Attainment
- Time in Range
- Time on IV Insulin
- Time to Target
- Burn Injury
- Cardiac Surgery
- DKA/HHS Management
- Emergency Department
- Induced Hypothermia
- Intra-op Glucose Management
- Obstetrics/Labor & Delivery
- Pediatrics
- Residual Insulin Adjustment
- BG Check Compliance
- BG Test Reduction
- Nursing Satisfaction
- Protocol Adherence
- Provider Satisfaction
- Workflow Improvements