GlucoStabilizer versus Paper Protocols

Comparison of Nursing Work Effort and the Cost of Glucose Control The table below compares GlucoStabilizer data to two published articles (see footer at end of table) looking at nurse workload and performance related to glucose control protocols. How does your hospital compare?

 

Efficiency Parameters

Paper protocol*

Paper protocol**

GlucoStabilizer***

ICU Patients- # used for calculation of subsequent data calculation

Not indicated in

source

38

 4,588

Total BG measurements (n)

77,954

454 (9-20/patient)

24,214

Time for Initiation of an infusion (minutes + SD)

Not indicated in

source

32.56 + 12.83

8.2 + 3.2

Time for glucose measurement,

insulin dose calculation and dose adjustment (minutes + SD)

4.72 + 1.13

10.65 + 3.24

3.2 + 1.1

Glucose measures reduced to Q2 hrs.

Not indicated in

source

Not indicated in

source

>54% measures

Safety Parameters

Time to Target as define by BG <110 mg/dl (hours)

Not indicated in

source

> 12 hours

5.9 + 5.7

Hypoglycemia rate (< 40 mg/dL)

13-17%

13-17%

 0.03%

Protocol deviations- deviations from scheduled measurement

Not indicated in

source

Total 734

418 (57%)

5.50%

D50 W calculation and return to glucose target range after hypoglycemia (minutes)

unknown

unknown

28.0 + 26.2

Other Parameters
Nursing Training time

35 minutes

35 minutes

10 minutes

* Aragon D, American Journal of Critical Care (July 2006);15:370-377 ** Maleskar et al., American Journal of Critical Care (Nov 2007), 16(6): 589-598 *** Clarian Data, on file at Medical Automation Systems, Inc.This data was researched and produced by The Epsilon Group (www.epsilongroup.com) and published in the November 2008 issue of their Epsilon Evidentia newsletter.

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