RT Journal Article
SR Electronic
T1 Effectiveness of standardised preoperative assessment and patient instructions on admission blood glucose for patients with diabetes undergoing orthopaedic surgery at a tertiary referral hospital
JF BMJ Open Quality
JO BMJ Open Qual
FD British Medical Journal Publishing Group
SP e000455
DO 10.1136/bmjoq-2018-000455
VO 8
IS 2
A1 Thérèse Franco, MD, SFHM
A1 Stephen Rupp MD
A1 Barbara Williams, PhD
A1 Craig Blackmore, MD, MPH
YR 2019
UL http://bmjopenquality.bmj.com/content/8/2/e000455.abstract
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.