Cover Image

Effectiveness of the computerization of a YALE insulin infusion modified protocol in reducing the nursing workload in an Internal Medicine Department

Giampietro Beltramello, Carmelo Sgarlata, Marco Rollone, Luigi Magnani
  • Giampietro Beltramello
    Azienda Sanitaria ULSS3, Hospital of Bassano del Grappa (VI), Italy | beltra.piero@gmail.com
  • Carmelo Sgarlata
    Azienda Socio-Sanitaria Territoriale della Provincia di Pavia, Department of Internal Medicine, Civil Hospital of Voghera, Voghera (PV), Italy
  • Marco Rollone
    Azienda di Servizi alla Persona di Pavia, IDR Santa Margherita, Pavia, Italy
  • Luigi Magnani
    Azienda Socio-Sanitaria Territoriale della Provincia di Pavia, Department of Internal Medicine, Civil Hospital of Voghera, Voghera (PV), Italy

Abstract

Hyperglycemia is a negative prognostic factor in both critical and non-critical patients. Many critically ill patients admitted to internal medicine wards present hyperglycemia and may benefit from an IV insulin therapy. The Yale Insulin Infusion Protocol (YIIP) is effective and safe in achieving the desired glucose range. However, to be used properly and safely, it requires a considerable availability of nursing resources. This probably represents the main limiting factor in using these protocols outside intensive care units. This study was performed to assess the effectiveness of a computer application which reduces the nursing workload related to managing a nurse implemented modified YIIP in our internal medicine department. Our experience showed that computerizing the YIIP algorithm is safe and effective. It leads on average to a net 30-min nursing time saving per day per patient.

Keywords

Hyperglycemia; critically ill; YALE insulin infusion protocol; computerization, computer application; nursing workload.

Full Text:

PDF
HTML
Submitted: 2018-01-06 15:31:43
Published: 2018-06-20 12:31:20
Search for citations in Google Scholar
Related articles: Google Scholar
Abstract views:
39

Views:
PDF
12
HTML
0

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM


Copyright (c) 2018 Giampietro Beltramello, Carmelo Sgarlata, Marco Rollone, Luigi Magnani

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
 
© PAGEPress 2008-2018     -     PAGEPress is a registered trademark property of PAGEPress srl, Italy.     -     VAT: IT02125780185     •     Privacy