Impact of intravenous insulin protocols on hypoglycemia, patient safety, and nursing workload

Dimensions of Critical Care Nursing

Volumn 28, Issue 3, 2009, Pages 95-101

  Sauer, Penny ^a   Van Horn, Elizabeth R ^b  

^a WAKEMED HEALTH AND HOSPITALS   (United States)

^b UNIVERSITY OF NORTH CAROLINA AT GREENSBORO   (United States)

Author keywords

Blood glucose; Hypoglycemia; Insulin; Nurse workload

Indexed keywords

ANTIDIABETIC AGENT; INSULIN;

ADULT; CHEMICALLY INDUCED DISORDER; CLINICAL PROTOCOL; DRUG MONITORING; EVIDENCE BASED PRACTICE; HUMAN; HYPOGLYCEMIA; INTENSIVE CARE; INTRAVENOUS DRUG ADMINISTRATION; LEADERSHIP; METHODOLOGY; NURSE ADMINISTRATOR; NURSE ATTITUDE; NURSING; NURSING RESEARCH; ORGANIZATION AND MANAGEMENT; OUTCOME ASSESSMENT; REVIEW; SAFETY; STATISTICS; TASK PERFORMANCE; WORKLOAD;

ADULT; CLINICAL PROTOCOLS; CRITICAL CARE; DRUG MONITORING; EVIDENCE-BASED PRACTICE; HUMANS; HYPOGLYCEMIA; HYPOGLYCEMIC AGENTS; INFUSIONS, INTRAVENOUS; INSULIN; LEADERSHIP; NURSE ADMINISTRATORS; NURSE'S ROLE; NURSING RESEARCH; OUTCOME ASSESSMENT (HEALTH CARE); RESEARCH DESIGN; SAFETY MANAGEMENT; TIME AND MOTION STUDIES; WORKLOAD;

EID: 67651009602     PISSN: 07304625     EISSN: 15388646     Source Type: Journal    
DOI: 10.1097/DCC.0b013e31819af06d     Document Type: Article

References (24)

1. Furnary AP, Gao G, Grunkemeier GL, et al. Continuous insulin infusion reduces mortality in patients with diabetes undergoing coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2003;125(5):1007-1021.
2. Kanji S, Singh A, Tierney M, Meggison H, McIntyre L, Hebert PC. Standardization of intravenous insulin therapy improves the efficiency and safety of blood glucose control in critically ill adults. Intensive Care Med. 2004;30:804-810.
3. Kee CA, Tomalty JA, Cline JM, Novick RJ, Stitt L. Change in practice patterns in the management of diabetic cardiac surgery patients. Can J Cardiovasc Nurs. 2006;16:20-27.
4. Krinsley JS. Effect of an intensive glucose management protocol on the mortality of critically ill adult patients. Mayo Clin Proc. 2004;79:992-1000.
5. Osburne RC, Cook CB, Stockton L, et al. Improving hyperglycemia management in the intensive care unit. Diabetes Educ. 2006;32:394-403.
6. Van den Berghe G, Wouters P, Weekers F, et al. Intensive insulin therapy in critically ill patients. N Engl J Med. 2001;345(19): 1359-1367.
7. Copstead LC, Banasik JL. Pathophysiology. 3rd ed. St. Louis, MO: Elsevier Saunders; 2005.
8. Van den Berghe G. Insulin therapy for the critically ill patient. Clin Cornerstone. 2003;5:56-63.
9. American Association of Clinical Endocrinologists. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the management of diabetes mellitus. Endocr Pract. 2007;13(suppl 1):1-66. http://www.aace.com/ pub/pdf/guidelines/DMGuidelines2007.pdf. Accessed September 24, 2007.
10. American Diabetes Association. Standards of medical care position statement. Diabetes Care. 2006;29(suppl 1):S4-S43.
11. Institute for Safe Medication Practices. ISMP's list of high-alert medications. Institute for Safe Medication Practices. http:// www.ismp.org/tools/highalertmedications.pdf. Published 2007. Accessed October 11, 2007.
12. Garrard J. Health Sciences Literature Review Made Easy. 2nd ed. Sudbury, MA: Jones and Bartlett; 2007.
13. Karon BS, Gandhi GY, Nuttall GA, et al. Accuracy of Roche Accu-Chek inform whole blood capillary, arterial, and venous glucose values in patients receiving intensive insulin therapy after cardiac surgery. Am J Clin Pathol. 2007;127: 919-926.
14. Lacara T, Domagtoy C, Lickliter D, et al. Comparison of point-of-care and laboratory glucose analysis in critically ill patients. Am J Crit Care. 2007;16:336-346.
15. Kanji S, Buffie J, Hutton B, et al. Reliability of point-of-care testing for glucose measurement in critically ill adults. Crit Care Med. 2005;33:2778-2785.
16. American Diabetes Association. Hypoglycemia - all about diabetes. American Diabetes Association. http://diabets.org/type-1-diabetes/hypoglycemia. jsp. Accessed November 4, 2007.
17. Kee JL. Laboratory and Diagnostic Tests With Nursing Implications. 7th ed. Upper Saddle River, NJ: Pearson Prentice Hall; 2005.
18. Van den Berghe G, Wouters PJ, Bouillon R, et al. Outcome benefit of intensive insulin therapy in the critically ill. Insulin dose versus glycemic control. Crit Care Med. 2003;31:359-366.
19. Oeyen SG, Hoste EA, Rossens CD, Decruyenaere JM, Blot SI. Adherence to and efficacy and safety of an insulin protocol in the critically ill: a prospective observational study. Am J Crit Care. 2007;16:599-608.
20. Garber AJ, Moghissi ES, Buonocore D, et al. American College of Endocrinology and American Diabetes Association consensus statement on inpatients diabetes and glycemic control. Diabetes Care. 2006;29:1955-1962.
21. Van den Berghe G. Insulin therapy in critical illness. Can J Diabetes. 2004;28:43-49.
22. Malesker MA, Foral PA, McPhillips AC, Christensen KJ, Chang JA, Hilleman DE. An efficiency evaluation of protocols for tight glycemic control in intensive care units. Am J Crit Care. 2007;16:589-598.
23. Aragon D. Evaluation of nursing work effort and perceptions about blood glucose testing in tight glycemic control. Am J Crit Care. 2006;15:370-377.
24. Goldberg PA, Inzucchi SE. Selling root canals: lessons learned from implementing a hospital insulin infusion protocol. Diabetes Spec. 2005;18:28-38.