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Measure of Safety for Q2Hour vs Q1Hour Glucose Checks for Intravenous Insulin Dosing
Objective
This retrospective study compares the safety and efficacy of two-hour blood glucose checks (q2hour) to one-hour blood glucose checks (q1hour) with use of an electronic glucose management system (EndoTool) for intravenous insulin dosing.
Setting
Cohort of five unaffiliated acute care hospitals.
Results
- Incidence of hypoglycemia <70 mg/dL was lower for q2hour checks than q1hour checks (0.24% vs 0.29% of blood glucose readings).
- Percentage of blood glucose readings more than 5 minutes late was lower for q2hour checks than q1hour checks (38.7% vs 44.3%).
- Mean blood glucose was lower for q2hour checks than q1hour checks (126 mg/dL vs 149 mg/dL).
- Variance from mean was lower for q2hour checks than q1hour checks (20% vs 25%).
Conclusions
Measures of hypoglycemia and blood glucose control observed with q2hour checks are superior to q1hour checks, affirming that EndoTool recommendations for q2hour checks are appropriate and hospitals can enjoy a positive impact to nursing workflow and reduced costs of care.
Authors
W. Patrick Burgess; Laura Santana; Chris Santry; Cathy Jaynes; Laurel Fuqua.
Source
Presented at American Association of Clinical Endocrinologists Scientific & Clinical Congress.
Year
2019
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