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Glycemic Control: Paper Protocol vs. EndoTool®
| Glycemic Control Issues |
Paper Protocol |
EndoTool® |
Time to glucose <120 mg/dL
|
10 to 15 hours |
~5 hours |
Mean glucose after 4 hours (mg/dL) or
% time 70-120 mg/dL
|
130 to 150 mg/dL
20% to 35% |
116 mg/dL
67% |
Incidence of Hypoglycemia
(≤ 40mg/dL), % of readings
|
0.2% - 0.5% |
0.05% |
Nursing work for TGC
|
Labor intensive, nurse &
physician dependent |
Reduced (No physician calls,
no math steps, & no paperwork) |
| Physician work for TGC |
Frequent rounds or calls to
adjust dosing regiment, ± MD |
Reduced, nearly eliminated |
| Hospital costs |
$20K - 80K per infection
$$$$$ |
Potential 20% - 50% reduction of nosocomial infections1 |
Hospital QA for SCIP
& The Joint Commission
|
Costly |
Documentation included
with software |
QA: Quality assurance; SCIP: Surgical Care Improvement Project; TGC: Tight glycemic control
1. Data on file. Collected by Infection Control Committee, Carolinas Medical Center
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