Project of Monitory on the surveillance of the Pregnant Woman in Population of the General Hospital of Ecatepec JMR

Adriana Fernández Moral*¹ and Martin Noé Rangel Calvillo²

Received: May 20, 2018;   Published: June 21, 2018

DOI: 10.26717/BJSTR.2018.05.001272

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Abstract

Adequate capillary glucose monitoring in the inpatient population is of crucial importance, as poor glucose control is associated to higher morbidity and mortality. In our experience, this practice does not always parallel clinical urgency, nor is it correlated to an immediate intervention leading to a treatment modification. We analyzed all capillary glucose data documented in the Electronic Medical Records of all hospitalized patients (excluding intensive care patients) during the first semester of 2015. Subsequently, a glucose monitoring protocol was devised, based on inpatient clinical characteristics, which we shared with medical and nursing staff with the aim of optimizing resources and standardizing measurement practices in our hospital. All capillary glucose was analyzed in the first semester of 2016 after adopting the proposed protocol. Less hypoglycemic episode was founded. Sensitizing and educating staff on the topic of glycemia may lead to clinical improvements, potentially reducing the risk of infection, as well as reducing the duration of hospitalization and impacting clinical management positively in a comprehensive manner. An adequate and systematic utilization of capillary glucose data as decisional aid tool, eventually to be integrated with an ‘alert’ system, may become a valid pillar of support in the planning and improvement of inpatient care available to healthcare professionals.

Keywords: Glucose Monitoring, Hospitalization, Resource Management

Abstract| Introduction| Aim of Study| Materials and Methods Discussion of Results| Conclusion and Potential Areas of Improvement| References|