Improvement reports
The Choosing Wisely safety initiative addresses hypoglycaemia amongst US Veterans with diabetes by using a medical record system to identify patients at risk and to plot clinical decision support.
Improvement reports
This improvement report looked at how the introduction of ‘Hypo Boxes’ to diabetes wards over a 4 week period improved the assessment and management of patients with hypoglycaemia.
Improvement reports
The intervention was a care bundle for chronic kidney disease - a common complication of poorly controlled diabetes. The bundle included three evidence-based, high impact interventions based on National Institute for Care Excellence (NICE, 2008) guidance, with an additional and novel self-management element.
Improvement reports
This improvement work aimed to reduce prescription errors and improve health care professionals’ knowledge by introducing the following initiatives: (1) redesign of the diabetes prescription chart; and (2) implementing a root cause analysis prescription error pathway which involves a targeted approach to education for the individual who made the error.
Improvement reports
This quality improvement report describes the experience of formulating a sustainable structure of support in primary schools to promote safe insulin use.
Improvement reports
In this quality improvement report the authors from St George's NHS Trust outline their approach to standardise insulin prescribing to improve safety in hospitals.
Improvement reports
Dose adjustment for normal eating’ (DAFNE) is a 5-day structured education programme for adults with type 1 diabetes that provides the knowledge and skills required for insulin adjustment on a meal-by-meal basis, within a safe environment.
Improvement reports
The project by NHS Hammersmith and Fulham used co-production and developed from a diabetes service user group who wanted to provide more support and education for people with diabetes, and to raise awareness of diabetes in the local community. Volunteers were recruited to undertake champion, peer educator or peer mentor roles in Hammersmith and Fulham and Harrow.
Improvement reports
Women with diabetes are two to four times more likely to give birth to a baby with an abnormality, and five times as likely as women without diabetes to experience a stillbirth. Effective preconception care improves outcomes, but nationally only a third of women access this care.
Improvement reports
This improvement report by Duncan Stang reviews the approach taken in Scotland to delivering comprehensive screening services for people with diabetes.
