| Diabetes management of elective hospital admissions. | |
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MedLine Citation:
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PMID: 20950388 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIMS: At any given time, people with diabetes occupy approximately 10-20% of acute hospital beds. In addition, diabetes is associated with a greater length of stay. Patients undergoing elective procedures occupy approximately 50% of hospital beds. The aim of this 12-month project was to improve the quality of diabetes care for elective inpatients. The primary outcome measure was length of stay. METHODS: A team was established to improve the quality of care and reduce the length of stay of all patients admitted electively with diabetes. Specific areas of focus were surgical pre-assessment, planning the admission, post-operative care and planning a safe discharge. A retrospective audit of all elective patients with a coded diagnosis of diabetes admitted between June 2008 and June 2009 was performed. RESULTS: Comparing the year of the project with the preceding year day-case rates for patients with diabetes increased by 34.8% for diabetes vs. 13.7% for the total hospital population (P for difference=0.048). There was a significant fall in diabetes length of stay of 0.34 days comparing 2008 and 2009 (P=0.040). Over the same period, we have shown a smaller reduction in length of stay for all other admissions of 0.08 days (p=0.039). CONCLUSION: A team specifically employed to focus on elective inpatient diabetes care have a significant impact on length of stay of this patient group with potential cost savings. |
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Authors:
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D Flanagan; J Ellis; A Baggott; K Grimsehl; P English |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Diabetic medicine : a journal of the British Diabetic Association Volume: 27 ISSN: 1464-5491 ISO Abbreviation: Diabet. Med. Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-10-18 Completed Date: 2011-01-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8500858 Medline TA: Diabet Med Country: England |
Other Details:
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Languages: eng Pagination: 1289-94 Citation Subset: IM |
Copyright Information:
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© 2010 The Authors. Diabetic Medicine © 2010 Diabetes UK. |
Affiliation:
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Department of Endocrinology, Plymouth Diabetes Service, Derriford Hospital, Plymouth. Daniel.flanagan@phnt.swest.nhs.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Diabetes Mellitus
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economics,
therapy* Female Humans Length of Stay / economics, statistics & numerical data* Male Outcome Assessment (Health Care) Patient Admission / economics, statistics & numerical data* Patient Care Team / organization & administration* Patient Discharge / economics, statistics & numerical data* Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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