In a hospital setting, administering quality care and ensuring proper condition management for patients with preexisting illnesses, such as diabetes, is essential to maintaining patient safety and satisfaction. In December 2015, Mather Hospital’s inter-professional committee completed a Failure Mode and Effects Analysis and noted high risk surrounding insulin administration and time of meal tray delivery.
Nursing staff initiated a project to understand and address this issue. After conducting a review of corresponding literature, they shared their results with the directors of food and nutritional services, pharmacy, and nursing informatics. The review indicated that 33% of inpatients had a primary or secondary diagnosis of Type 2 diabetes. The average time between insulin administration and meal tray delivery was 60 minutes, leading to more than 400 critical glucometer values.
The findings validated the hospital’s concerns and spurred collaboration among staff to address the safety issue. Since then, the average time between insulin administration and meal time delivery has decreased to less than 15 minutes across the organization, surpassing the U.S. Food and Drug Administration’s recommendation. Consequently, critical glucometer results diminished substantially.
For more information, contact Maureen Altieri, M.S., B.S.N., R.N., N.E.A.-B.C., Director of Service Excellence and Magnet, at (631) 686-1421 or at firstname.lastname@example.org.