Why the study?
Does participation in a clinical trial and international accreditation improve the availability and quality of clinical guidelines on perioperative diabetes care?
Observational (n=51)
Yes
Does participation in a clinical trial and international accreditation improve the availability and quality of clinical guidelines on perioperative diabetes care?
Participating in a clinical trial combined with international accreditation significantly improves the availability and quality of clinical guidelines in hospital units.
Accreditation may boost guideline development in hospitals; leaves open effects on perioperative diabetes care quality when paired with trial participation.
PURPOSE: To examine the availability and quality of clinical guidelines on perioperative diabetes care in hospital units before and after a randomised clinical trial (RCT) and international accreditation. DESIGN/METHODOLOGY/APPROACH: Interventional "before-after" study in 51 units (38 surgical and 13 anaesthetic) in nine hospitals participating in a RCT in the greater Copenhagen area; 27 of the units also underwent international accreditation. FINDINGS: The proportion of units with guidelines increased from 24/51 (47 percent) units before to 38/51 (75 percent) units after the trial. Among the 27 units without guidelines before the trial, significantly more accredited units compared to non-accredited units had a guideline after the trial (9/10 (90 percent) compared to 5/17 (29 percent). The quality of the systematic development scale and the clinical scales improved significantly after the trial in both accredited units (both p < 0.001) and in non-accredited units (both p < 0.02). The improvement of the systematic development scale was significantly higher in accredited than in non-accredited units (p < 0.01). ORIGINALITY/VALUE: The combination of conducting both the DIPOM Trial and international accreditation led to a significant improvement of both dissemination and quality of guidelines on perioperative diabetic care.
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Juul et al. (2005) conducted an observational in Perioperative diabetes care (n=51). International accreditation vs. Non-accredited units was evaluated on Availability of a clinical guideline after the trial among units without guidelines at baseline. International accreditation significantly increased the development of clinical guidelines among hospital units without prior guidelines compared to non-accredited units (90% vs 29%).
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