Journal article
Transitioning Postoperative Cardiovascular Surgery Patients from Intravenous to Subcutaneous Insulin: An Improvement Project
Journal of clinical outcomes management, Vol.18(12), pp.563-567
12/01/2011
Abstract
To describe an improvement project to transition postoperative cardiovascular surgery patients from intravenous to subcutaneous insulin. A multidisciplinary team of hospitalist physicians, nurses, and a clinical pharmacist in collaboration with the cardiothoracic surgeon developed an evidence-based intervention using a time-point protocol. We evaluated glycemic control by analyzing the percentage of blood glucose levels < 180 mg/dL during postoperative day 1 and 2 before and after the intervention. The average percentage of blood glucose measurements < 180 mg/dL increased from 38% to 59% (P = 0.08). The average blood glucose level achieved in the pre-intervention group was 203 mg/dL (± 73; median, 196 mg/dL); this decreased to 181 mg/dL (± 72; median, 158 mg/dL) (P = 0.10) after the intervention. Although there was no statistically significant improvement observed in postoperative blood glucose levels, our results reveal a trend towards improved glycemic control. Subjectively, our project enhanced provider awareness of the importance of maintaining glycemic control in post-cardiac surgery patients through successful collaboration with hospitalist consultation and a multidisciplinary team approach.
Details
- Title: Subtitle
- Transitioning Postoperative Cardiovascular Surgery Patients from Intravenous to Subcutaneous Insulin: An Improvement Project
- Creators
- Phyllis HemersonAdriana BanarovaMartin IzakovicGregory ClancyWayne RichenbacherLori Beireis
- Resource Type
- Journal article
- Publication Details
- Journal of clinical outcomes management, Vol.18(12), pp.563-567
- Publisher
- Turner White Communications Inc
- ISSN
- 1079-6533
- eISSN
- 1938-1336
- Language
- English
- Date published
- 12/01/2011
- Academic Unit
- Nursing; Cardiothoracic Surgery; Internal Medicine
- Record Identifier
- 9984548671302771
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