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Related Concept Videos

Diabetes: Management and Pharmacotherapy01:15

Diabetes: Management and Pharmacotherapy

The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time for...
Nursing Implementation01:15

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
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Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation

Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about insulin...
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Related Experiment Video

Updated: May 21, 2026

Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Implementing and evaluating a multicomponent inpatient diabetes management program: putting research into practice.

Miguel Munoz1, Peter Pronovost, Joanne Dintzis

  • 1Johns Hopkins University School of Medicine, Baltimore, USA.

Joint Commission Journal on Quality and Patient Safety
|June 2, 2012
PubMed
Summary

Implementing a hospitalwide inpatient glucose management program significantly reduced blood glucose levels and hypoglycemia events. This model offers a framework for improving patient safety and quality of care in hospitals.

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Last Updated: May 21, 2026

Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Area of Science:

  • Clinical Medicine
  • Hospital Administration
  • Quality Improvement

Background:

  • Hospitalwide glucose control requires strategic implementation.
  • A conceptual model was developed for an institutional inpatient glucose management program.
  • The model integrates staff engagement, education, evidence-based policies, and outcome evaluation.

Purpose of the Study:

  • To present a conceptual model for developing and implementing a hospitalwide inpatient glucose management program.
  • To outline key components for successful glucose control initiatives.
  • To guide other institutions in their glucose management efforts.

Main Methods:

  • Developed a Glucose Steering Committee to create hospitalwide policies.
  • Implemented targeted education and clinical decision support.
  • Incorporated process and outcome measures to assess effectiveness.
  • Established an educational curriculum for nursing, provider, and pharmacist staff.
  • Monitored current glucometrics.

Main Results:

  • Achieved a patient-day-weighted mean blood glucose (PDWMBG) below 180 mg/dL for patients with diabetes and hyperglycemia.
  • Observed a significant decrease in PDWMBG by 7.8 mg/dL in patients with hyperglycemia.
  • Reduced hypoglycemia event rates by 18.8%, with sustained results.

Conclusions:

  • Inpatient glucose management is crucial for patient safety and quality improvement.
  • The presented implementation model can guide other hospitals in their glucose management initiatives.
  • Effective glycemic management requires a structured, multi-component approach.