Implementation of a Diabetes Management Flow Sheet in a Long-Term Care Setting.

Abstract:

OBJECTIVES:Physicians lack clear guidance about adaptation of clinical practice guidelines for elderly institutionalized patients with diabetes. In a large long-term care facility, a diabetes management flow sheet was trialed to determine which clinical parameters were found useful by clinicians in the management of diabetes in that setting. METHODS:Clinical practice guidelines for diabetes management were reviewed with attending physicians. Diabetes management flow sheets were distributed for all patients coded as having diabetes on their most recent minimum data sets. After a period of 14 months, flow sheet completion rates were ascertained and physicians were surveyed regarding the utility of the flow sheet. RESULTS:Initial flow sheet data were completed in full or in part for only 57% of the 121 study subjects; 39% of the subjects died within 14 months. Quarterly follow-up data were completed for 58% of the flow sheets. CONCLUSIONS:The diabetes management flow sheet was not found to be useful by attending physicians as a chronic-disease management tool.

journal_name

Can J Diabetes

authors

Williams E,Curtis A

doi

10.1016/j.jcjd.2014.12.001

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

273-7

issue

4

eissn

1499-2671

issn

2352-3840

pii

S1499-2671(14)00708-4

journal_volume

39

pub_type

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