Why the study?
Does the implementation of algorithmic order sets and a certified diabetes educator reduce infections and improve mean blood glucose in diabetic patients undergoing vascular surgery?
Does the implementation of algorithmic order sets and a certified diabetes educator reduce infections and improve mean blood glucose in diabetic patients undergoing vascular surgery?
Implementing algorithmic order sets and utilizing a certified diabetes educator improves perioperative glucose control and reduces infections in diabetic patients undergoing vascular surgery.
May support order sets and educators in diabetic vascular surgery; hypothesis-generating and requires randomized confirmation.
Improving management of inpatients with diabetes undergoing vascular surgery requires collaboration among many health care practitioners. This article describes a performance improvement project that implemented two evidence-based algorithmic order sets to guide perioperative glucose management for diabetic patients undergoing vascular procedures and utilized a certified diabetes educator (CDE) to educate health care practitioners. Results showed statistically and clinically significant reductions in infection and differences in mean blood glucose between pre- and postintervention groups, including a direct relationship between glucose control and the level of involvement of a CDE in patient care.
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Najarian et al. (2005) studied this question.
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