Step 4: Implementing & Maintaining Changes
Planning & Implementation Tools
- Georgia Diabetes Special Interest Group Toolkit with guidelines (IV insulin, subcutaneous insulin, DKA in adult & peds), performance measures, policies & protocols and more: https://www.gha.org/pha/health/diabetes/Toolkit
- GlycemicControl.net (Society for Hospital Medicine): "Your Complete Resource for Optimal Glycemic Control Information," with research updates, protocols, references, and more: http://www.glycemiccontrol.net
- Implement Effective Glucose Control - The Institute of Healthcare Improvement (IHI) summarizes the benefits and offers tips and examples for improving impatient glycemic control: http://www.ihi.org/IHI/Topics/CriticalCare/IntensiveCare/Changes/ImplementEffectiveGlucoseControl.htm
- Insulin Management, Subcutaneous (Order Set) from the Institute for Clinical Systems Improvement (ICSI): http://www.icsi.org/guidelines_and_more/guidelines__order_sets___protocols/other_health_care_conditions/insulin_management__order_set_/insulin_management__subcutaneous__order_set_.html
- The Joint Commission Certificate of Distinction for Inpatient Diabetes Care recognizes hospitals that make exceptional efforts to foster better outcomes across all inpatient settings: http://www.jointcommission.org/CertificationPrograms/Inpatient+Diabetes
- MedQIC: Comprehensive online resource of quality improvement information for Medicare's National Quality Improvement Priority Topics. http://medqic.org
- Minnesota Alliance for Patient Safety (MAPS): Links and Resources http://www.mnpatientsafety.org/index.php?option=com_content&task=view&id=20&Itemid=37
- The Portland Protocol for continuous intervenous insulin infusion in postoperative diabetic patients undergoing cardiac surgical procedures: www.providence.org/oregon/programs_and_services/heart/portlandprotocol
- QualityNet: Provides healthcare quality improvement news, resources and data reporting tools and applications for hospitals and other healthcare settings. www.qualitynet.org
- Society for Hospital Medicine Glycemic Control Resource Room http://www.hospitalmedicine.org/ResourceRoomRedesign/GlycemicControl.cfm
- Glycemic Control Workbook: www.hospitalmedicine.org/AM/Template.cfm?Section=Search_Advanced_Search§ion=Glycemic_Control&template=/CM/ContentDisplay.cfm&ContentFileID=2934 [PDF, 3.9 MB]
- Management of Diabetes and Hyperglycemia in the Hospital Patient: Focus on subcutaneous insulin use in the non-critically ill, adult patient (Presentation and Educational Summary Sheet) http://www.hospitalmedicine.org/ResourceRoomRedesign/html/04Best_Practices/03_Managing_Diabetes.cfm
- Quality Improvement Tools: www.hospitalmedicine.org/Content/NavigationMenu/HQPS/QualityImprovementTools/Quality_Improvement_.htm