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       #Post#: 280--------------------------------------------------
       Reduce medicines wastage and improve the quality of care for dia
       betes patients
       By: Annabeli5 Date: May 28, 2015, 2:45 am
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       How to reduce medicines wastage and improve the quality of care
       and reduce length of stay for inpatients diabetes patients?
       #Post#: 285--------------------------------------------------
       Re: Reduce medicines wastage and improve the quality of care for
        diabetes patients
       By: Paul Date: May 28, 2015, 2:55 am
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       ThinkGlucose is designed to improve the care of people with
       diabetes when they are admitted to hospital. Patients with a
       secondary diagnosis of diabetes who receive the right care for
       their diabetes are able to return home fitter, more safely and
       with a positive patient experience.
       The National Diabetes Inpatient Audit (2012) showed that 66%
       (n=11,866 inpatients with diabetes) of patients included in the
       audit were admitted for medical reasons other than diabetes with
       only 9% of patients admitted specifically for the management of
       their diabetes.
       The median length of stay for inpatients with diabetes at the
       time of the audit was 8 nights compared to 5 for all inpatients
       in England. The audit highlighted a trend that diabetes patients
       admitted to hospital have a longer median length of stay.
       (Health and Social Care Information Centre, 2012).
       ThinkGlucose provides a structured development programme for
       developing and improving the care of people with diabetes who
       are admitted to hospital. It brings together hospital diabetes
       specialist teams with colleagues in patient safety, clinical
       governance, and commissioning, surgical and medical specialities
       across the hospital to deliver improved effective efficient and
       patient friendly care to people with diabetes.
       The programme aims to:
       [list]
       [li][font=Verdana]Increase the awareness of diabetes in
       inpatients and educate staff.[/font][/li]
       [li][font=Verdana]Introduce early specialist involvement with
       an early discharge/follow-up plan to reduce the average length
       of stay.[/font][/li]
       [li][font=Verdana]Reduce prescription errors and improve
       patient care through publicising updated guidelines from local
       and national guideline producers, for example NICE.[/font][/li]
       [/list]
       The ThinkGlucose safe use of insulin tool provides education
       materials and guidance on managing self-administration, which
       reinforces the importance of self-administration if the patient
       has the appropriate skills and capabilities.
       The programme provides a package of products within the toolkit,
       such as a patient assessment tool and self-administration
       decision tree. It also raises awareness of other NHS Institute
       tools from other work programmes, such as experience-based
       design and the sustainability model. This learning and support
       aims to improve awareness and remove the obstacles to the
       treatment of patients with diabetes as a secondary diagnosis.
       Obstacles could be in the form of low awareness, lack of
       confidence and knowledge about diabetes and how diabetes can
       complicate the primary reason for admission.
       ThinkGlucose provides a comprehensive package of service
       improvement, leading to a clinical pathway that will help to
       ensure that all staff is better equipped to care for inpatients
       with diabetes. By improving staff knowledge, patient assessment,
       management of patient medication and meals, patients will have
       fewer complications, get better quicker and be discharged
       earlier.
       The original scope for ThinkGlucose did not include:
       [list]
       [li][font=Verdana]Community settings.[/font][/li]
       [li][font=Verdana]Mental health.[/font][/li]
       [li][font=Verdana]Paediatrics.[/font][/li]
       [/list]
       However, ThinkGlucose has some applicability within these
       settings.
       Dudley group of Hospitals launched the ThinkGlucose project
       across the organisation in August 2010; information relating to
       their experience is documented throughout this case study.
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