Impact of the Diabetes Inpatient Care and Education (DICE) project and the DICE Care Pathway on patient outcomes and trainee doctor's knowledge and confidence
| Autor: | R. Rajendran, S. Barker, C. Kerry, Gerry Rayman, A. Scott, R.-M. Round |
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| Rok vydání: | 2015 |
| Předmět: |
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Clinical audit medicine.medical_specialty Students Medical Endocrinology Diabetes and Metabolism MEDLINE Audit Diabetic Ketoacidosis Endocrinology Patient Education as Topic Patient-Centered Care Diabetes mellitus Diabetes Mellitus Internal Medicine medicine Care pathway Humans Hypoglycemic Agents Insulin Hospitals Teaching Secondary Care Centers Patient Care Team Self-efficacy Clinical Audit Medical Errors Inpatient care business.industry Health Plan Implementation medicine.disease Combined Modality Therapy Hypoglycemia Self Efficacy Kirkpatrick model England Hyperglycemia Family medicine Emergency medicine Clinical Competence business |
| Zdroj: | Diabetic Medicine. 32:920-924 |
| ISSN: | 0742-3071 |
| Popis: | Aim To evaluate the impact of the Diabetes Inpatient Care and Education project and a comprehensive diabetes care pathway, the Diabetes Inpatient Care and Education Care Pathway, on patient outcomes and on the knowledge and confidence of trainee doctors. Methods The effect on patient outcomes was evaluated by comparing the National Diabetes Inpatient Audit data before (2012) and after (2013) implementing the Diabetes Inpatient Care and Education project. The impact on trainee doctors was evaluated using the Modified Kirkpatrick model. Just before the project began and again 3 months later, trainee doctors were surveyed to assess their knowledge and confidence in inpatient diabetes care. Results Patient harm was found to have been reduced significantly when National Diabetes Inpatient Audit data for 2012 and 2013 were compared. Severe hypoglycaemia decreased from 15.4 to 9.7%, medication errors from 56.9 to 21.1% and insulin errors from 31 to 7%. Across the 96 trainee doctors surveyed, the mean (sd) knowledge and confidence scores increased significantly (P |
| Databáze: | OpenAIRE |
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