Sheffield Teaching Hospitals Foundation Trust wanted to improve the care of in-patients with diabetes. A diabetes multidisciplinary team (MDT) was formed in the Trust, which carried out an analysis of critical incident reports and patient stories of diabetes management errors.
The analysis identified three areas where things can go wrong (triggers) and errors are made (harm):
- Lack of/inappropriate blood glucose monitoring
- Poor identification and inappropriate treatment of hypoglycaemic episodes
- Errors in prescription and administration of diabetic medications The MDT decided to address these areas by developing three care bundles.
The primary aim of the project was to investigate if a comprehensive in-patient diabetes management programme improved patient safety. The secondary aim was to investigate if the programme improved staff knowledge and patient satisfaction.
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