Type 2 & other diabetes

Increasing Frequency of Hemoglobin A1c Measurements in Hospitalized Patients With Diabetes: A Quality Improvement Project Using Lean Six Sigma

J Diabetes Sci TechnolPublished Quality improvement study

Authors' conclusion

We demonstrate a novel approach in improving A1c in hospitalized patients. Lean Six Sigma may represent a valuable methodology for community hospitals to improve inpatient diabetes care.

Study context

Population
Inpatients with DM consecutively admitted to a community hospital, Jan 2016–Jun 2021, without an A1c in the previous 3 months; mean age 70.9 years, 52.2% male, 57.0% white
Comparison
Postintervention vs preintervention
Outcome
Frequency of A1c measurement
Methodological detailsbefore-after, Lean Six Sigma, single community hospital, preintervention vs postintervention comparison
  • Before-after
  • Lean Six Sigma
  • Single community hospital
  • Preintervention vs postintervention comparison

Main finding

As reported in the abstract

A1c measurements

P < 0.001

Further findings

Patients seen by diabetes consult service

P < 0.001

LOS

P < 0.001

Original publication

Increasing Frequency of Hemoglobin A1c Measurements in Hospitalized Patients With Diabetes: A Quality Improvement Project Using Lean Six Sigma. J Diabetes Sci Technol. Published 14 February 2023. doi:10.1177/19322968231153883

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