Dietitian-led quality improvement project improves blood sugar control in peritoneal dialysis patients with poorly controlled diabetes mellitus
Care Continuum
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2020
Reduce the percentage of peritoneal dialysis patients with poorly controlled diabetes mellitus (Hba1c >8%) from 18.6% to. Dietitian-led initiatives effectively reduce DM complications in PD patients, providing a model for protocol development.
Year Submitted: 2020
Published Date: 31 December 2020
Tags: Care Process ＆ Redesign, Care Continuum, Quality Improvement, Clinical Practice Improvement, Preventive Care, Patient Education, Chronic Care, Self Care
About this Content
Aims
Reduce the percentage of peritoneal dialysis patients with poorly controlled diabetes mellitus (Hba1c >8%) from 18.6% to 14.0%.
Background
Poor glycemic control in peritoneal dialysis patients has multiple contributing factors, impacting patient outcomes.
Methods
Interventions included dietary education, structured SMBG, discounted glucometers, and collaborative care with medical teams.
Results
Reduced poorly controlled DM prevalence to 12.5% (September 2018) and 10.4% (January 2019).
Conclusion
Dietitian-led initiatives effectively reduce DM complications in PD patients, providing a model for protocol development.
Lessons Learnt
Coordinated care by dietitians improves glycemic control; logistical and communication challenges exist in team-based approaches.
Keywords
Diabetes Mellitus, Peritoneal Dialysis, Glycemic Control, Root Cause Analysis, Quality Improvement
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | National University Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Allied Health, Medical |
Applicable Specialty or Discipline | Endocrinology, Nutrition ＆ Dietetics, Neonatology |
Project Lead(s) | Lim Jia Qi, Yong Xin Nee |
Project Member(s) | Lim Su Lin |
Connect with this contributor!
Lim Jia Qi - jia_qi_lim@nuhs.edu.sg
Yong Xin Nee - xin_nee_yong@nuhs.edu.sg