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

  • Giampietro Beltramello | beltra.piero@gmail.com Azienda Sanitaria ULSS3, Hospital of Bassano del Grappa (VI), Italy.
  • 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.

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Published
2018-06-20
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Original Articles
Keywords:
Hyperglycemia, critically ill, YALE insulin infusion protocol, computerization, computer application, nursing workload.
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How to Cite
Beltramello, G., Sgarlata, C., Rollone, M., & Magnani, L. (2018). Effectiveness of the computerization of a YALE insulin infusion modified protocol in reducing the nursing workload in an Internal Medicine Department. Italian Journal of Medicine, 12(2), 131-136. https://doi.org/10.4081/itjm.2018.977