عنوان انگلیسی مقاله:
Improving compliance with diabetes care using a novel mnemonic: Aquality improvement project in an urban primary care clinic
ترجمه فارسی عنوان مقاله:
رویکرد بهبود انطباق با مراقبت از دیابت با استفاده از یک حفظی: پروژه بهبود کیفیت در یک کلینیک مراقبت های اولیه شهری
Sciencedirect - Elsevier - Primary Care Diabetes, Corrected proof: doi:10:1016/j:pcd:2020:04:008
Neander Tabingo∗, Ana Verzone
Aim: The aim of this quality improvement project was to improve compliance with the delivery of multi-dimensional patient-centered diabetes care using a streamlined mnemonic based on established diabetesguidelines.Methods: Using the Institute for Healthcare Improvement (IHI) model for improvement, four rapid plan-do-study-act cycles primarily implemented different tests of change over eight weeks using a streamlinedmnemonic – the LLaVES (lifestyle, laboratory tests, vaccination, examination, social/psychosocial) bundlefor screening and case management of patients with diabetes. Secondary to the LLaVES bundle, tests ofchange were also conducted for clinic team members and patients. Team member engagement utilizeda best-practice toolkit for effective communication. Patient engagement implemented validated modelsto evaluate knowledge of diabetes and stage of change. Data were analyzed using run charts to evaluatethe impact of interventions on outcomes. Overall compliance was measured as the diabetes manage-ment compliance rate (DMCR), composed of LLaVES implementation, team engagement, and patientengagement scores.Results: The diabetes management compliance rate increased by 72.2%, from a baseline of 49% to 84.4% ineight weeks. Team engagement increased from 76.6% to 92% while patient engagement increased from70.4% to 87.4%.Conclusions: Diabetes management is complex and requires team and patient engagement to implementa structured and multidimensional process. Composed of established, high-level evidence interventions,the LLaVES bundle is one approach to systematize complex care while taking into account the specificand unique challenges of a health care organization.
Keywords:Quality improvement | LLaVES | Complex diabetes care