LBSUN205 Clinical Practice Guidelines With Education Make A Difference

Diabetic ketoacidosis is a serious acute complication of diabetes. Despite the advances in management of type 1 diabetes, unfortunately there is still frequent hospital admission with it. The management of diabetic ketoacidosis was variable with no clear standards of care. We implemented clinical guidelines in September 2019. Staff education was done when the guideline was launched in the hospital. We audited our work a year after implementing the guidelines and we found issues with adherence to the fluid management (66%), fixed rate insulin infusion (69%). The overall result showed average resolution time of 27 hours. There was no mortality or serious complication reported. Extensive reeducation of staff was done. A reaudit was done which showed Signiant improvement in adherence to the guidelines. Fluid management improved (66% to 95%) and fixed rate insulin (88% to 100%). This has resulted in improvement in resolution time from 27 hours to 12.9 hours. The good outcome of this audit is reflecting the importance of proper staff education when we implement new guidelines. Presentation: Sunday, June 12, 2022 12:30 p.m. - 2:30 p.m.