Related Experiment Video
Updated: Jul 2, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Implementation of an insulin protocol using a multiplier-based calculation for determining infusion rates in
Rebecca Nichols1, Edward Zawada, Thomas Johnson
1ICU, Avera McKennan Hospital and University Health Center, USA.
Abstract:
Evaluation of a nurse-titrated insulin infusion method for hyperglycemia treatment was conducted on data from a 19-bed mixed medical-surgical intensive care unit (ICU) with results demonstrating that glucose management did not consistently meet target glucose goals. A multidisciplinary team was created to evaluate and implement a method of insulin infusion administration that would decrease titration subjectivity and improve glycemic management. Utilizing a Plan-Do-Study-Act (PDSA) cycle for trial implementation of a calculation-based method, data demonstrated a significant improvement in glycemic management when compared to the previous method of insulin administration.
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