Efficacy of feedback from quarterly laboratory comparison in maintaining quality of a hospital capillary blood glucose monitoring program.

Abstract:

OBJECTIVE:A 1-year randomized prospective study was conducted to investigate the efficacy of feedback from split-sample testing as part of a capillary blood glucose quality assurance program. RESEARCH DESIGN AND METHODS:A total of 124 nurses were randomized to either group A (quarterly comparisons with feedback) or group B (no feedback). The measure of nurse accuracy against the laboratory at 0, 6, and 12 months was determined by an additional five to seven split-sample tests without giving feedback to either group. Mean accuracy was determined in terms of percent absolute deviation from the laboratory result and a clinical consensus limit of +/- 20% deviation from the laboratory. RESULTS:By 12 months, there was a significant effect of feedback on nurse agreement with the laboratory method (P = 0.022 when agreement was scored as the mean percent absolute difference and P = 0.002 when agreement was scored in terms of the +/- 20% clinical consensus limit). Nurses in the group who had received no quarterly feedback from split-sample testing produced a 3.5% greater mean percent absolute deviation from the laboratory method and 12% fewer comparisons within the acceptable +/- 20% range. CONCLUSIONS:Feedback received from split-sample testing has a significant effect in maintaining accuracy in capillary blood glucose monitoring.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Jones HE,Cleave B,Zinman B,Szalai JP,Nichol HL,Hoffman BR

doi

10.2337/diacare.19.2.168

subject

Has Abstract

pub_date

1996-02-01 00:00:00

pages

168-70

issue

2

eissn

0149-5992

issn

1935-5548

journal_volume

19

pub_type

临床试验,杂志文章,随机对照试验
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    authors: Mühlhauser I,Berger M,Sonnenberg G,Koch J,Jörgens V,Schernthaner G,Scholz V,Pädagogin D

    更新日期:1985-05-01 00:00:00

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    更新日期:2017-05-01 00:00:00

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    authors: Villar E,Chang SH,McDonald SP

    更新日期:2007-12-01 00:00:00

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    doi:10.2337/dc09-1488

    authors: Sinha A,Rajan M,Hoerger T,Pogach L

    更新日期:2010-04-01 00:00:00

  • Serum Galectin-3 and Subsequent Risk of Coronary Heart Disease in Subjects With Childhood-Onset Type 1 Diabetes: A Cohort Study.

    abstract:OBJECTIVE:To study whether serum galectin-3 and other biomarkers of inflammation predict coronary heart disease (CHD) in subjects with long-standing childhood-onset type 1 diabetes. RESEARCH DESIGN AND METHODS:A population-based nationwide cohort of 299 subjects with type 1 diabetes diagnosed in Norway at <15 years of...

    journal_title:Diabetes care

    pub_type: 杂志文章

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    authors: Saeed M,Tapia G,Ariansen I,Stene LC,Seljeflot I,Tell GS,Skrivarhaug T,Joner G

    更新日期:2021-01-06 00:00:00

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    pub_type: 杂志文章

    doi:10.2337/dc12-0070

    authors: Damiano ER,El-Khatib FH,Zheng H,Nathan DM,Russell SJ

    更新日期:2013-02-01 00:00:00

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    pub_type: 杂志文章

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    authors: Asao K,Kao WH,Baptiste-Roberts K,Bandeen-Roche K,Erlinger TP,Brancati FL

    更新日期:2006-07-01 00:00:00

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    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

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    更新日期:1992-07-01 00:00:00

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    journal_title:Diabetes care

    pub_type: 杂志文章

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    pub_type: 杂志文章,多中心研究

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    更新日期:2012-06-01 00:00:00

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    pub_type: 杂志文章

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    journal_title:Diabetes care

    pub_type: 杂志文章

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    更新日期:2009-08-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1997-01-01 00:00:00

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:10.2337/dc20-1809

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  • Management of dyslipidemia in NIDDM.

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    pub_type: 杂志文章,评审

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    doi:

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