PT  - JOURNAL ARTICLE
AU  - Thérèse Franco, MD, SFHM
AU  - Stephen Rupp MD
AU  - Barbara Williams, PhD
AU  - Craig Blackmore, MD, MPH
TI  - Effectiveness of standardised preoperative assessment and patient instructions on admission blood glucose for patients with diabetes undergoing orthopaedic surgery at a tertiary referral hospital
AID  - 10.1136/bmjoq-2018-000455
DP  - 2019 May 01
TA  - BMJ Open Quality
PG  - e000455
VI  - 8
IP  - 2
4099  - http://bmjopenquality.bmj.com/content/8/2/e000455.short
4100  - http://bmjopenquality.bmj.com/content/8/2/e000455.full
SO  - BMJ Open Qual2019 May 01; 8
AB  - Diabetes and hyperglycaemia affect a significant number of people and are associated with a variety of untoward effects, especially under physiological stress such as surgery. Due, in large part to limited evidence, clinical practice in monitoring blood glucose and treating hyperglycaemic conditions in the perioperative period is variable. We used Lean methodologies to implement a standardised approach to preoperative management of patients undergoing elective surgery in an effort to improve glycaemic control. Overall, we saw an appropriate increase in monitoring and a decrease in the rate of hyperglycaemia on presentation to the operating room. This approach may be useful in other care settings or patient populations, potentially contributing to improved glycaemic control and subsequent decrease in associated complications.