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       #Post#: 186--------------------------------------------------
       Evidence of deliverable from implementation of ThinkGlucose serv
       ice
       By: admini5 Date: May 13, 2015, 6:32 am
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       What is the evidence of deliverable from implementation of
       ThinkGlucose service for diabetes patients?
       Dudley Group of Hospitals carried out baseline audits on
       inpatient diabetes care across the hospital.
       The process included:
       •
       team
       •
       doctors, including evening teaching
       •
       dedicated consultant sessions
       •
       •
       accordance with national guidelines
       Results showed:
       •
       efficiencies for the trust of £422,000 in the first 8 months of
       the project (which equates to 2200 beds days being released at
       an average unit cost per bed day of £192).
       •
       educated through ThinkGlucose
       •
       diabetes patients respectively
       •
       appropriate hypoglycaemia management improved from 26.1% to 65%
       •
       from 23.3% to 13.8%.
       Worcestershire Acute Hospitals Trust:
       A baseline of 5% self-administration of insulin was seen in the
       pilot wards. This increased to 25% after 12 weeks of
       implementing ThinkGlucose. No adverse incidents have been
       observed as a result of the introduction of self-administration
       of insulin (January 2013). A reduction in inappropriate
       referrals was observed from 64 per cent to 39% following 12
       weeks of testing on pilot wards. The introduction of the
       ThinkGlucose Link Nurse scheme was a contributory factor to
       inappropriate referrals remaining low; in 2011 this was
       approximately 3% on average. The Link Nurses have additional
       responsibility for a clinical condition. The nature of the
       additional responsibility depends on the needs of the
       organisation. It may be anything from increased knowledge to
       having to carry out specific tasks. For example, in
       Worcestershire Acute Hospitals their Link Nurses audited the use
       of patient assessment stickers in clinical notes.
       University Hospitals Leicester:
       A 25% reduction in inappropriate referrals to diabetes
       specialist team has been observed after 12 weeks of using the
       referral criteria of the Patient Assessment tool. This reduction
       has continued, with a total 51% reduction after a further 12
       weeks. The reduction in length of stay was 2 days.
       Sheffield Teaching Hospitals Foundation Trust:
       There was a 25% increase in appropriate clinical coding for
       people with diabetes on the ThinkGlucose pilot wards. This could
       equate to £53,000 in income for the trust. There was a 10-fold
       increase in patient satisfaction from 3% to 30%. Diabetes
       knowledge and confidence increased among non-diabetes specialist
       staff. There was increased accuracy in their knowledge of when
       to refer to the specialist team from 3% to 47%.
       Portsmouth Hospitals:
       Intravenous insulin-related savings: 30% of patients stopped
       inappropriate intravenous insulin use 75% reduction in delayed
       discharges secondary to diabetes hypoglycaemic reduction.
       Cambridge University Hospitals NHS Foundation Trust:
       Report success with drug errors across the trust, including the
       ThinkGlucose wards. Within the National Inpatient Audit 2010,
       fewer inpatients with diabetes had a prescription error (14%
       compared with 26% across the whole audit) and fewer patients
       experienced management error (8.7% compared with 20.0% across
       all participating units nationally; these figures are a
       combination of ThinkGlucose and non-ThinkGlucose wards).
       For further information please visit:
  HTML https://arms.evidence.nhs.uk/resources/qipp/1008647/attachment
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