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Successful Implementation of a Perioperative Glycemic Control Protocol in Cardiac Surgery: Barrier Analysis and Intervention Using Lean Six Sigma
Although the evidence strongly supports perioperative glycemic control among cardiac surgical patients, there is scant literature to describe the practical application of such a protocol in the complex ICU environment. This paper describes the use of the Lean Six Sigma methodology to implement a per...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3170784/ https://www.ncbi.nlm.nih.gov/pubmed/22091218 http://dx.doi.org/10.1155/2011/565069 |
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author | Martinez, Elizabeth A. Chavez-Valdez, Raul Holt, Natalie F. Grogan, Kelly L. Khalifeh, Katherine W. Slater, Tammy Winner, Laura E. Moyer, Jennifer Lehmann, Christoph U. |
author_facet | Martinez, Elizabeth A. Chavez-Valdez, Raul Holt, Natalie F. Grogan, Kelly L. Khalifeh, Katherine W. Slater, Tammy Winner, Laura E. Moyer, Jennifer Lehmann, Christoph U. |
author_sort | Martinez, Elizabeth A. |
collection | PubMed |
description | Although the evidence strongly supports perioperative glycemic control among cardiac surgical patients, there is scant literature to describe the practical application of such a protocol in the complex ICU environment. This paper describes the use of the Lean Six Sigma methodology to implement a perioperative insulin protocol in a cardiac surgical intensive care unit (CSICU) in a large academic hospital. A preintervention chart audit revealed that fewer than 10% of patients were admitted to the CSICU with glucose <200 mg/dL, prompting the initiation of the quality improvement project. Following protocol implementation, more than 90% of patients were admitted with a glucose <200 mg/dL. Key elements to success include barrier analysis and intervention, provider education, and broadening the project scope to address the intraoperative period. |
format | Online Article Text |
id | pubmed-3170784 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-31707842011-11-16 Successful Implementation of a Perioperative Glycemic Control Protocol in Cardiac Surgery: Barrier Analysis and Intervention Using Lean Six Sigma Martinez, Elizabeth A. Chavez-Valdez, Raul Holt, Natalie F. Grogan, Kelly L. Khalifeh, Katherine W. Slater, Tammy Winner, Laura E. Moyer, Jennifer Lehmann, Christoph U. Anesthesiol Res Pract Clinical Study Although the evidence strongly supports perioperative glycemic control among cardiac surgical patients, there is scant literature to describe the practical application of such a protocol in the complex ICU environment. This paper describes the use of the Lean Six Sigma methodology to implement a perioperative insulin protocol in a cardiac surgical intensive care unit (CSICU) in a large academic hospital. A preintervention chart audit revealed that fewer than 10% of patients were admitted to the CSICU with glucose <200 mg/dL, prompting the initiation of the quality improvement project. Following protocol implementation, more than 90% of patients were admitted with a glucose <200 mg/dL. Key elements to success include barrier analysis and intervention, provider education, and broadening the project scope to address the intraoperative period. Hindawi Publishing Corporation 2011 2011-09-06 /pmc/articles/PMC3170784/ /pubmed/22091218 http://dx.doi.org/10.1155/2011/565069 Text en Copyright © 2011 Elizabeth A. Martinez et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Martinez, Elizabeth A. Chavez-Valdez, Raul Holt, Natalie F. Grogan, Kelly L. Khalifeh, Katherine W. Slater, Tammy Winner, Laura E. Moyer, Jennifer Lehmann, Christoph U. Successful Implementation of a Perioperative Glycemic Control Protocol in Cardiac Surgery: Barrier Analysis and Intervention Using Lean Six Sigma |
title | Successful Implementation of a Perioperative Glycemic Control Protocol in Cardiac Surgery: Barrier Analysis and Intervention Using Lean Six Sigma |
title_full | Successful Implementation of a Perioperative Glycemic Control Protocol in Cardiac Surgery: Barrier Analysis and Intervention Using Lean Six Sigma |
title_fullStr | Successful Implementation of a Perioperative Glycemic Control Protocol in Cardiac Surgery: Barrier Analysis and Intervention Using Lean Six Sigma |
title_full_unstemmed | Successful Implementation of a Perioperative Glycemic Control Protocol in Cardiac Surgery: Barrier Analysis and Intervention Using Lean Six Sigma |
title_short | Successful Implementation of a Perioperative Glycemic Control Protocol in Cardiac Surgery: Barrier Analysis and Intervention Using Lean Six Sigma |
title_sort | successful implementation of a perioperative glycemic control protocol in cardiac surgery: barrier analysis and intervention using lean six sigma |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3170784/ https://www.ncbi.nlm.nih.gov/pubmed/22091218 http://dx.doi.org/10.1155/2011/565069 |
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