Closing gaps in diabetes care: From evidence to practice
| Autor: | Ali Alhawaj, Sahar Abdulrhman, Ebtesam Mohammed Ba-Essa, Basima Alsehati, Saleh Alahmad, Abdulaziz Aldijwi, Ali Aljobran, Mayson Karkar |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Quality management media_common.quotation_subject physician performance assessment lcsh:Medicine key performance indicators Audit 030204 cardiovascular system & hematology process and outcome indicators quality improvement 03 medical and health sciences Diabetes mellitus 0302 clinical medicine medicine Quality (business) 030212 general & internal medicine Medical prescription media_common business.industry Medical record lcsh:R General Medicine medicine.disease Family medicine Original Article Observational study Performance indicator business |
| Zdroj: | Saudi Journal of Medicine and Medical Sciences, Vol 6, Iss 2, Pp 68-76 (2018) Saudi Journal of Medicine & Medical Sciences |
| ISSN: | 1658-631X |
| DOI: | 10.4103/sjmms.sjmms_86_17 |
| Popis: | Background: Tracking progress in diabetes care may help in evaluating the quality of efforts and identifying gaps in the care. Objectives: To demonstrate that tracking important clinical indicators of diabetes mellitus can result in improved care as well as help identify and close gaps between evidence and practice in diabetes care. Subjects and Methods: The study is an observational, random audit of medical records of patients with diabetes who received care at the Diabetes Center, Dammam Medical Complex. Thirteen process and four outcome key performance indicators were studied using the quality improvement Plan–Do–Study–Act model, for the period between October 2012 and March 2016. Individual physician performance was also measured for the same duration. All data were benchmarked against peer organizations worldwide. Results: Urine examination for proteinuria, foot examination, annual influenza vaccination, aspirin prescription, structured education, personalized nutritional advice and self-monitoring of blood glucose significantly improved between baseline and the final observation of the study (P < 0.001). The proportion of patients with hemoglobin A1c >9% decreased, and that of those who achieved the recommended levels of hemoglobin A1c ( |
| Databáze: | OpenAIRE |
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