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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