Presentation Details
| Increasing the Rate of Blood Glucose Checks in Known Diabetics During the Perioperative Period Jennifer Inofomoh, Andres Arango, Daniel Jabari , Erin Vigil, Robert Martinez . University of Texas Medical Branch, Galveston, TX, USA |
Abstract
BACKGROUND: Adequate blood glucose control in the perioperative period is imperative in preventing complications. The relative risk reduction in surgical site infection when glucose is controlled (defined as <180mg/dL) is approximately 30% to 40% compared to poor control (defined as >200mg/dL). At our institution, the rate of perioperative glucose checks was unacceptably low at 57.5% of total cases for known diabetics. In an effort to improve perioperative glucose control at our institution we utilized the Plan-Do-Study-Act model to increase the rate of perioperative blood glucose checks.
PURPOSE: The first intervention we implemented was adding compliance in perioperative glucose checks to our department Quality Improvement Initiative (QII). The second intervention was adding automatic POC glucose check orders to our DSU and PACU order sets. We defined compliance as obtaining a preoperative glucose check within 6 hours of surgery AND a postoperative glucose check within 30 minutes after procedure end. All data was collected from the EMR, EPIC, on a monthly basis. This data was compiled in our departmental QII data management platform, Microsoft PowerBI. Data analysis consisted of calculating average compliance using PowerBI and Microsoft Excel.
RESULTS: Our interventions were implemented on January 1, 2025. Prior to that date, average compliance was 57.5% for the previous 12 months. Compliance for January 2025 increased to 78.2%. Average compliance during our 6-month evaluation period was 78.3%. The majority of non-compliant cases were due to the lack of a blood glucose check in the postoperative period.
CONCLUSIONS: Including perioperative glucose monitoring in our departmental QII and implementing an automatic POCT glucose check orders dramatically increased compliance in perioperative glucose checks in diabetic patients. Additonal interventions include periodic meetings with staff in the preoperative and postoperative areas to increase awareness of our initiative and of the automated POCT glucose check order.
No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author.
PURPOSE: The first intervention we implemented was adding compliance in perioperative glucose checks to our department Quality Improvement Initiative (QII). The second intervention was adding automatic POC glucose check orders to our DSU and PACU order sets. We defined compliance as obtaining a preoperative glucose check within 6 hours of surgery AND a postoperative glucose check within 30 minutes after procedure end. All data was collected from the EMR, EPIC, on a monthly basis. This data was compiled in our departmental QII data management platform, Microsoft PowerBI. Data analysis consisted of calculating average compliance using PowerBI and Microsoft Excel.
RESULTS: Our interventions were implemented on January 1, 2025. Prior to that date, average compliance was 57.5% for the previous 12 months. Compliance for January 2025 increased to 78.2%. Average compliance during our 6-month evaluation period was 78.3%. The majority of non-compliant cases were due to the lack of a blood glucose check in the postoperative period.
CONCLUSIONS: Including perioperative glucose monitoring in our departmental QII and implementing an automatic POCT glucose check orders dramatically increased compliance in perioperative glucose checks in diabetic patients. Additonal interventions include periodic meetings with staff in the preoperative and postoperative areas to increase awareness of our initiative and of the automated POCT glucose check order.
No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author.
Content Locked. Log into a registered attendee account to access this presentation.