
Implementation of Glucose Management Software in Cardiac Surgery Patients to Improve Postoperative Blood Glucose Control and Compliance with SCIP Measures
Objective
This retrospective observational study compares SCIP-Inf-4 compliance among cardiac surgery patients before and after implementation of a glucose management software system (EndoTool).
Setting
1,018-bed academic medical center and Level 1 trauma center.
Results
- After implementation of EndoTool, percentage of patients in full SCIP-Inf-4 compliance increased from 86.1% to 89.9%, while percentage of patients in SCIP-Inf-4 compliance post-operative Day 1 increased from 88.9% to 96.1%.
- Among patients in SCIP-Inf-4 compliance post-operative Day 1 but not post-operative Day 2, all (100%) had been discontinued from EndoTool after less than 30 hours of continuous intravenous insulin therapy.
Conclusions
Use of EndoTool for post-operative glucose management of cardiac surgery patients leads to improved SCIP-Inf-4 compliance (a program that aims to decrease incidence of surgical site infections); however, early discontinuation of patients from EndoTool prior to completing a full 48 hours of continuous intravenous insulin therapy has a negative effect on SCIP-Inf-4 compliance.
Authors
Amanda Zomp, PharmD; Earnest Alexander, PharmD, FCCM; Maresa Glass, PharmD, BCPS; Ren Chen, MD, MPH.
Source
Presented at Society of Critical Care Medicine Critical Care Congress. Published in Critical Care Medicine, Volume 39, Issue 12, p206.
Year
2012
Tags
- Hypoglycemia Reduction
- Hyperglycemia Reduction
- Length of Stay
- Hospital-Acquired Conditions
- Healthcare-Associated Infections
- Surgical Site Infections
- Cost Savings
- Cost Savings|Hyperglycemia Reduction|Hypoglycemia Reduction|Length of Stay
- Time to Target
- Time in Range
- Time on IV Insulin
- Target Goal Attainment
- Mean Glucose Improvement
- Glucose Variability
- 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
- Nursing Satisfaction|Workflow Improvements