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Diabetic ketoacidosis

Quality statement

People admitted to hospital with diabetic ketoacidosis receive educational and psychological support prior to discharge and are followed up by a specialist diabetes team.

Quality measure

Structure

Evidence of local arrangements to ensure that people admitted to hospital with diabetic ketoacidosis receive educational and psychological support prior to discharge and are followed up by a specialist diabetes team.

Process

a) Proportion of people admitted to hospital with diabetic ketoacidosis who receive educational and psychological support by a specialist diabetes team prior to discharge.

Numerator - the number of people in the denominator receiving educational and psychological support by a specialist diabetes team prior to discharge.

Denominator - the number of people admitted to hospital with diabetic ketoacidosis.

b) Proportion of people admitted to hospital with diabetic ketoacidosis who receive follow-up within 30 days after discharge by a specialist diabetes team.

Numerator - the number of people in the denominator receiving follow-up within 30 days after discharge by a specialist diabetes team.

Denominator - the number of people discharged from hospital following an admission for diabetic ketoacidosis.

Outcome

Reduction in readmission rates within 12 months for people admitted with diabetic ketoacidosis.

Description of what the quality statement means for each audience

Service providers ensure patients admitted to hospital with diabetic ketoacidosis receive educational and psychological support prior to discharge with follow-up after discharge by a specialist diabetes team.

Healthcare professionals ensure they know how to access a specialist diabetes team for all patients admitted to hospital with diabetic ketoacidosis that provides educational and psychological support prior to discharge.

Commissioners ensure they commission a service providing access to a specialist diabetes team prior to a patient's discharge with follow-up after discharge for all patients admitted to hospital with diabetic ketoacidosis.

People with diabetes admitted to hospital with diabetic ketoacidosis (a serious condition caused by a shortage of insulin) receive information and psychological support from a specialist diabetes team before and after they leave hospital.

Source clinical guideline references

NICE clinical guideline 15 recommendations 1.12.3.1.and 1.12.5.1.

Data source

Structure

Local data collection.

Process

a) and b) Local data collection.

Outcome

Local data collection. The National Diabetes Auditmeasures the incidence, prevalence and re-occurrence of ketoacidosis. Hospital Episode Statistics (HES) collects data on readmission rates.

Definitions

The opinion of the Topic Expert Group is that follow-up for people admitted to hospital with diabetic ketoacidosis should take place within 30 days of discharge by a specialist diabetes team.

Equality and diversity

All information about treatment and care, including advice on avoiding diabetic ketoacidosis, should take into account age and social factors, language, accessibility, physical, sensory or learning difficulties, and should be ethnically and culturally appropriate. It should also be accessible to people who do not speak or read English. If needed, people with diabetes should have access to an interpreter or advocate.

This page was last updated: 28 March 2011

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.