Sustaining improvement in diabetes-related ketoacidosis management through a Quality Improvement Projects

Authors

  • Lakshmi Narayanan Rengarajan University Hospitals Birmingham NHS Foundation Trust
  • Katrina Nash College of Medical and Dental Sciences, University of Birmingham, UK
  • Emma Ooi RCSI & UCD Malaysia Campus, Penang, Malaysia
  • Catherine Cooper Walsall Manor Hospital
  • Amy Birchenough Sandwell and West Birmingham Hospitals NHS Trust
  • Megan Owen Walsall Manor Hospital
  • Sanjay Saraf University Hospitals Birmingham NHS Foundation Trust
  • Ali Karamat University Hospitals Birmingham NHS Foundation Trust
  • Parijat De Sandwell and West Birmingham Hospitals NHS Trust
  • Senthil Krishnasamy Walsall Manor Hospital
  • Parth Narendran University Hospitals Birmingham NHS Foundation Trust, Institute of Immunology and Immunotherapy, University of Birmingham, UK
  • Punith Kempegowda University Hospitals Birmingham NHS Foundation Trust, Institute of Metabolism and Systems Research, University of Birmingham, UK

DOI:

https://doi.org/10.15277/bjd.2022.398

Keywords:

diabetic ketoacidosis, DKA, regular feedback, quality improvement

Author Biography

Catherine Cooper, Walsall Manor Hospital

Foundation Year 2 doctor

References

Misra S, Oliver NS. Diabetic ketoacidosis in adults. BMJ 2015;351: h5660.

Gibb FW, Teoh WL, Graham J, Lockman KA. Risk of death following admission to a UK hospital with diabetic ketoacidosis. Diabetologia 2016; 59(10):2082–7. https://doi.org/10.1007/s00125-016-4034-0

Bull S V, Douglas IS, Foster M, Albert RK. Mandatory protocol for treating adult patients with diabetic ketoacidosis decreases intensive care unit and hospital lengths of stay: results of a nonrandomized trial. Critical Care Medicine 2007;35(1):41–6. https://doi.org/10.1097/01.ccm.0000249825.18677.D2

Flood K, Nour M, Holt T, Cattell V, Krochak C, Inman M. Implementation and Evaluation of a Diabetic Ketoacidosis Order Set in Pediatric Type 1 Diabetes at a Tertiary Care Hospital: A Quality-Improvement Initiative. Can J Diabetes 2019;43(5):297–303. https://doi.org/10.1016/j.jcjd.2018.12.005

Dhatariya KK, Parsekar K, Skedgel C, Datta V, Hill P, Fordham R. The cost of treating diabetic ketoacidosis in an adolescent population in the UK: a national survey of hospital resource use. Diabetic Medicine 2019; 36(8):982-7. https://doi.org/10.1111/dme.13893

Group JBDS (JBDS) for IC. The management of diabetic ketoacidosis (DKA) in adults. The management of diabetic ketoacidosis (DKA) in adults. 2021

Kempegowda P, Coombs B, Nightingale P, et al. Regular and frequent feedback of specific clinical criteria delivers a sustained improvement in the management of diabetic ketoacidosis. Clinical Medicine (Lond) 2017;17(5):389–94. https://doi.org/10.7861/clinmedicine.17-5-389

Kempegowda P, Chandan JS, Coombs B, et al. Regular performance feedback may be key to maintain good quality DKA management: Results from a five-year study. BMJ Open Diabetes Research and Care 2019;7(1):e000695. https://doi.org/10.1136/bmjdrc-2019-000695

Dhatariya KK, Skedgel C, Fordham R. The cost of treating diabetic ketoacidosis in the UK: a national survey of hospital resource use. Diabetic Medicine 2017;34(10):1361–6. https://doi.org/10.1111/dme.13427

Dhatariya KK, Parsekar K, Skedgel C, Datta V, Hill P, Fordham R. The cost of treating diabetic ketoacidosis in an adolescent population in the UK: a national survey of hospital resource use. Diabetic Medicine 2019; 36(8):982–7. https://doi.org/10.1111/dme.13893

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Published

2022-12-21

Issue

Vol. 22 No. 2 (2022): December 2022

Section

Quality Improvement Winning Paper

License

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