ArticleClinical medicine (London, England)2017
Regular and frequent feedback of specific clinical criteria delivers a sustained improvement in the management of diabetic ketoacidosis .
Article in Clinical medicine (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 13 citations in OpenAlex.
- Clinically significant hypoglycaemia in hospitalised adults: A multicentre study of 1205 episodes in the United Kingdom.Diabetic medicine : a journal of the British Diabetic Association · 2026Observational
- Implementing a digital audit-and-feedback surveillance system for diabetic ketoacidosis: study protocol for the DEKODE programme.Frontiers in health services · 2026Article
- Implementing a multi-centre hypoglycaemia management surveillance model through a co-designed approach to develop actionable insights in the UK.Frontiers in health services · 2026Article
- Setting up a centralised DKA registry: a leap towards coordinating DKA management in the UK.Future healthcare journal · 2022Article
- Article
- Clinical and biochemical profile of 786 sequential episodes of diabetic ketoacidosis in adults with type 1 and type 2 diabetes mellitus.BMJ open diabetes research & care · 2021Observational
- Trends in aetiology, treatment and complications associated with diabetic ketoacidosis (DKA) - a 6-year study at a large tertiary care centre in the West Midlands, United Kingdom.Clinical medicine (London, England) · 2020Article
- Retrospective validation of Digital Evaluation of Ketosis and Other Diabetes Emergencies (DEKODE) algorithm: automated auditing system for diabetic ketoacidosis (DKA) management.Future healthcare journal · 2020Article
- Regular performance feedback may be key to maintain good quality DKA management: results from a five-year study.BMJ open diabetes research & care · 2019Article
- Response.Clinical medicine (London, England) · 2018Article
- Regular and frequent feedback of specific clinical criteria delivers a sustained improvement in the management of diabetic ketoacidosis.Clinical medicine (London, England) · 2018Article
- Are they high on steroids? Tailored interventions help improve screening for steroid-induced hyperglycaemia in hospitalised patients.BMJ open quality · 2018Article
- Winter is coming; time to ensure the right care, in the right place, for the right length of time.Clinical medicine (London, England) · 2017Article
Corrections and comments
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- Commented on byResponse.2018
Authors and funding
12 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Efficient management of diabetic ketoacidosis (DKA) improves outcomes and reduces length of stay. While clinical audit improves the management of DKA, significant and sustained improvement is often difficult to achieve. We aimed to improve the management of DKA in our trust through the implementation of quality improvement methodology. Five specific targets (primary drivers: fluid prescription, fixed rate intravenous insulin infusion, glucose measurement, ketone measurement and specialist referral) were selected following a baseline audit. Interventions (secondary drivers) were developed to improve these targets and included monthly feedback to departments of emergency medicine, acute medicine, and diabetes. Following our intervention, the mean average duration of DKA reduced from 22.0 hours to 10.2 hours. We demonstrate that regular audit cycles with interventions introduced through the plan-do-study-act model is an effective way to improve the management of DKA.
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