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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.

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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

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