Effect of A Computerized Insulin Dose Calculator On the Process of Glycemic ControlCase Study
Glycemic control is important to patients’ outcomes. However, the process of maintaining glycemic control is risk laden and labor intensive for nurses.
To examine the effects of using a computerized insulin dose calculator to facilitate management of glycemic control for critically ill cardiac patients.
Management of glycemic control and nurse satisfaction were improved with use of the dose calculator. Improving nurses’ processes of care may improve nurses’ use of time and patient care overall. Studies with larger sample sizes over time are needed to determine these relationships.
Improving Process – Improving Care
Glucose Levels in Target
A significantly higher percentage of glucose measurements were in the target range in the calculator group than the control group (70.4% vs 61.6%), and glucose variance was significantly less in the calculator group (35.5 mg/dL vs 42.3 mg/dL).
Fewer Hypoglycemic Events
Fewer hypoglycemic events occurred in the calculator group (7 vs 18).
Greater Nurse Satisfaction
Nurse satisfaction was higher for the calculator group than for the control group (8.4 vs 4.8). Nurses’ deviation from the protocol was also less in the calculator group than in the control group.
Author(s): Cheryl Dumont, RN, PhD, CRNI, and Cheryl Bourguignon, RN, PhD
Location: Winchester Medical Center in Winchester, VA
Source: American Journal of Critical Care. 2012;21:106-115