Related Experiment Video
Updated: May 16, 2026
Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
An Evidence-Based Quality Improvement Programme for Glycaemic Management in Critically Ill Patients Receiving Enteral
Wenjun Yan1, Zhixiang Zheng1, Yanxia Han1
1First Affiliated Hospital of Soochow University, Suzhou, China.
Background:
Hyperglycaemia is highly prevalent, affecting approximately one-third of critically ill patients receiving enteral nutrition (EN). Persistent hyperglycaemia is associated with an elevated risk of infection, increased mortality and prolonged length of stay, negatively impacting patient prognosis. Therefore, implementing an evidence-based hyperglycaemia management strategy is crucial to improve patient outcomes.
Aim:
This study aimed to reduce the incidence of hyperglycaemia during EN in critically ill patients through evidence-based practice.
Study Design:
A non-concurrent control study was conducted using pre- and post-implementation data. The baseline audit group comprised intensive care units patients receiving EN from January to June 2024, compared with a follow-up audit group receiving an evidence-based protocol from July to December 2024.
Results:
Following evidence-based practice implementation, the adherence rate for 12 of the 25 review indicators exceeded 60%, with 15 indicators demonstrating a significant improvement compared with pre-intervention levels (p < 0.05). Furthermore, the incidence of hyperglycaemia significantly decreased from 51.73% to 35.34% (p = 0.001), whereas the target blood glucose achievement rate significantly increased from 25.76% to 37.96% (p < 0.001). Concurrently, significant improvements were observed in both mean blood glucose levels (9.20 [7.50, 11.50] mmol/L) and mean fasting blood glucose (8.20 [6.80, 10.35] mmol/L) (p < 0.05).
Conclusions:
Evidence-based practice for hyperglycaemia management during EN in critically ill patients significantly improves medical staff compliance with blood glucose management protocols, leading to reduced hyperglycaemia incidence, improved target blood glucose achievement, optimized glycaemic control and shortened hospital stays.
Relevance To Clinical Practice:
The significant reduction in hyperglycaemia rates and increased provider adherence to the evidence-based intervention suggest that evidence-based hyperglycaemia management practices can be effectively translated to other clinical settings and provide a feasible set of strategies for implementing similar programmes in resource-constrained settings.
Related Concept Videos
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...
01:26Enteral Nutrition I: Orogastric and Nasogastric Feeding
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
01:29Chronic Pancreatitis II: Collaborative Care
Assessment:
01:30Acute Pancreatitis II: Clinical Manifestations and Management
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
01:14SBAR II: Application of SBAR
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...