Implementation of a National Guideline with Local Changes: Does an Abbreviated Adult Diabetic Ketoacidosis (DKA) Protocol Improve Local Uptake and Overall Clinical Care?


Management of Diabetic Ketoacidosis (DKA) remains a significant clinical problem in hospitals. Morbidity, mortality and length of hospital stay are negatively affected unless this life-threatening condition is diagnosed and treated quickly. The Sandwell and West Birmingham (SWB) NHS Trust’s junior doctors and nursing staff found the Joint British Diabetes Society (JBDS) guidelines on DKA too lengthy and complicated, resulting in poor adherence. In August 2015, the document was abbreviated from ten to two pages. Audit in 2015-16 showed significant improvements in adherence, management outcomes, user satisfaction and length of stay and the revised protocol became standard in the Trust. Re-audit in 2018 showed it remained effective and widely utilised.

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Quality In Care Diabetes

  • 2020 KEY DATES
  • Open for entry: Wednesday 18 March 2020
  • Entry deadline: Monday 20 July 2020
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