A Pathway for Perioperative Glycemic Optimization of Patients with Type 2 Diabetes Mellitus Undergoing Elective Major Gynecologic Surgery
Document Type
Presentation
Publication Date
7-10-2024
Abstract
Hyperglycemia in surgical patients is associated with several adverse outcomes, notably surgical site infections, longer lengths of stay, and increased 30-day readmission rates. Patients with type 2 diabetes (T2D) may present for elective surgery with poor glycemic control thereby increasing risk of surgical complications and subsequent health care costs. It is generally acknowledged that hyperglycemia should be avoided in the perioperative period, however formal guidelines have not been developed. Furthermore, patient care pathways for diabetic surgical patients lack standardization and, if followed, are typically left to clinician discretion. The aim of this study was to explore opportunities to improve hyperglycemia management in patients with T2D who present for elective hysterectomy. The quality processes employed in this study were root cause analysis, gemba walk, driver diagrams and fishbone analysis. Integration of enhanced preoperative testing guidance, improved medication recommendations, and the creation of a standardized clinical workflow provided more structured institutional standards. Additionally, the creation of reporting tools allows for continual performance assessment and improvement.
Recommended Citation
Yurick, MD, M. Katherine, "A Pathway for Perioperative Glycemic Optimization of Patients with Type 2 Diabetes Mellitus Undergoing Elective Major Gynecologic Surgery" (2024). Master of Science in Healthcare Quality and Safety Capstone Presentations. Presentation 88.https://jdc.jefferson.edu/ms_hqs/88
Language
English
Comments
Presentation: 36:15