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Updated: Jun 5, 2026
12:08
Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Best practices: implementation of a glucose screening program based on diffusion of innovation theory methods
Ginger E Nicol1, Elaine H Morrato, Mark C Johnson
1Department of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave., Campus Box 8134, St. Louis, MO 63110, USA. nicolg@wustl.edu
Psychiatric Services (Washington, D.C.)
|January 7, 2011
Summary
Implementing a glucose screening program improved cardiometabolic risk factor management in patients on antipsychotic medications. This quality improvement initiative bridged the gap between best-practice guidelines and clinical reality.
Area of Science:
- Public Health
- Clinical Practice
- Quality Improvement
Background:
- Antipsychotic medications are associated with cardiometabolic risks.
- Screening for these risks is recommended but often not implemented.
- A gap exists between policy and practice.
Purpose of the Study:
- To describe the successful implementation of a glucose screening program.
- To address the under-screening of cardiometabolic risk factors in mental health settings.
- To demonstrate a quality improvement strategy based on established theories.
Main Methods:
- Utilized Six Sigma principles for process optimization.
- Applied diffusion of innovation theory for program adoption.
- Implemented a best-practice glucose screening program across community mental health centers.
Main Results:
- Successfully implemented a best-practice glucose screening program.
- Improved the identification and management of cardiometabolic risk factors.
- Demonstrated the feasibility of quality improvement in real-world clinical settings.
Conclusions:
- Quality improvement strategies can effectively bridge the gap between recommended guidelines and clinical practice.
- Systematic approaches like Six Sigma and diffusion of innovation theory are valuable for implementing best practices.
- This model offers a scalable solution for improving patient care in community mental health settings.
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