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DIABETIC KETOACIDOSIS CRITICAL CARE PATHWAY IMPLEMENTATION: INCORPORATION INTO EMR SIGNIFICANTLY DECREASES LENGTH OF STAY.

Authors :
Martin C
McKinney ZJ
Hoody D
Fish L
Source :
Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists [Endocr Pract] 2016 Jun; Vol. 22 (6), pp. 673-8. Date of Electronic Publication: 2016 Jan 27.
Publication Year :
2016

Abstract

Objective: We discuss the implementation and outcomes of a diabetic ketoacidosis (DKA) critical care pathway (CCP) at a 462-bed teaching hospital.<br />Methods: A multi-disciplinary team implemented a DKA CCP that was translated into 3 computerized physician order entry (CPOE) order sets corresponding to the phases of DKA care. Historical and postintervention data were obtained via automated queries of the electronic medical record (EMR) and further analyzed by manual chart review.<br />Results: Average length of stay decreased from 104.3 to 72.9 hours (P = .0003) after implementation of a DKA CCP.<br />Conclusion: Outcome data supports the use of a DKA CCP at our institution.<br />Abbreviations: DKA = diabetic ketoacidosis CCP = critical care pathway EMR = electronic medical record CPOE = computerized physician order entry ICD-9 = International Classification of Diseases, ninth revision LoS = length of stay SQL = standard query language.

Details

Language :
English
ISSN :
1530-891X
Volume :
22
Issue :
6
Database :
MEDLINE
Journal :
Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
Publication Type :
Academic Journal
Accession number :
27176140
Full Text :
https://doi.org/10.4158/EP151073.OR