The reduction of hypoglycemia among inpatients through a multidisciplinary team work using a PDCA approach
© Cardim et al. 2015
Published: 11 November 2015
Hypoglycemia is associated with transient cognitive deficits and can result in cardiac arrhythmia, neurological damage, falls or aspiration. Among critical and non-critical inpatients, hypoglycemia increases the risk of death. Since 2012, we had kept the rate of hypoglycemia (proportion of capillary glucose episodes bellow 60 mg/dL per 100 glucose measurements) well controlled. During the first 3 months of 2014 we were aiming to keep the rate under 0,46%. However, there was an average of 149 episodes/month, which was equivalent to the rate of 0,57%.
To improve the frequency of hypoglycemic episodes among inpatients.
Materials and methods
Through a multidisciplinary team (pharmacists, nurses, physicians and nutritional therapists), using a PDCA approach (plan–do–check–act), we evaluated the main causes of hypoglycemia after 04/2014 and establish actions to improve the results.
This project demonstrates the importance of integration and involvement of a multidisciplinary team and the importance of adaptation and creation of new standards for continuous process improvement to reduce the frequency of hypoglycemia among inpatients.
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