Proof in the (Sugar-Free) Pudding: Implementing Computerized Insulin Drip Management
Objective
This retrospective case study examines clinical outcomes following implementation of a computerized glucose management system (EndoTool) in the intensive care unit.
Setting
114-bed not-for-profit community hospital affiliated with a major academic medical center.
Results
- Incidence of hypoglycemia <40 mg/dL was 0.0% of patient days with EndoTool.
- Incidence of hypoglycemia <70 mg/dL was 0.6% of patient days with EndoTool.
- 96.1% of blood glucose checks were classified as timely (i.e., within a 30-minute window) with EndoTool.
Conclusions
A computerized glucose management system (EndoTool) is associated with a very low rate of hypoglycemia and nearly full compliance with timely blood glucose checks for patients on an insulin drip; also, built-in analytics allow for insights otherwise difficult to obtain.
Authors
Karen Mahnke, MSN, RN, NEA-BC; Anthony Pick, MD; Laura Meller, MS, APRN, NE-BC; Samy Gonstal, BSN, CCRN; Chris Somberg, MS, APRN-CNS, ACNS-BC, NE-BC.
Source
Presented at Vizient Connections Summit.
Year
2022
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