An innovative method of managing inpatients with diabetes may be implemented this winter and has been identified as a result of the COVID-19 pandemic.
of Review, Qualified “COVID-19 Inpatient diabetes care during a pandemic”, We set out to determine how the pandemic impacted the provision of care for diabetics in UK hospitals.
“We found that the disruption of hospitalized diabetes services created a positive environment and new ways of working,” the report’s author wrote. “The way hospitals reorganized and prioritized hospitalization services often determined whether clinicians reported a positive or negative experience,” they note.
But in the minority, he added that the confusion that affected the quality of clinicians in care felt they could provide.
“New Normal”
Diabetes According to a news release from the UK, the “new normal” of inpatient care should not be accompanied by a shift to older work styles, and diabetes inpatient care should be integrated with ongoing prioritization, governance and hospital care. Safety driven components.
In the UK, the NHS is moving into Phase 3 of its response to COVID-19. It states in the report that it requires services to “capture positive change”, taking into account lessons learned during the first COVID-19 peak. To this end, UK Diabetes interviewed health professionals throughout the UK to learn about its experience providing inpatient diabetes care during the COVID-19 pandemic earlier this year.
The report cites Professor Gerry Rayman, a physician and doctor in the UK’s diabetes inpatient treatment program to improve diabetes, a clinical leader in East Suffolk and the North East NHS Foundation Trust. He said in some trusts, “…the hospital’s diabetic team was reinforced by outpatient or community-free diabetic staff, so hospitalization was treated in ways not previously possible, including weekend work. We have been able to provide”.
He added that the increasing presence of diabetics at the ward level was assessed by other teams. “The worry is that when people return to their normal jobs, diabetes services will no longer be able to provide the level of safe care possible.”
Technology
Some of the common experiences reported include web link glucometers, electronic patient records and prescriptions, online referral systems, video conferencing tools, and inpatient diabetes dashboards considered essential to providing care during a pandemic. Includes the use of technologies such as creation. The authors note that the technology increased the number of patient reviews, improved the flow of patients from admission to discharge, and enabled inpatient care for staff who were not able to attend bedside.
Importantly, this report also raises the issue that positive findings regarding inpatient services are often only possible due to relocation of outpatient service staff. The authors write: “Outpatient care is important to help avoid hospitalization. COVID-19 emphasizes the fact that diabetes outpatient care needs to be optimized as much as possible. Especially during the recovery phase, where there is the potential for a second surge.
“It is important to provide the best outpatient support to prevent hospitalization and severe cases of COVID-19.”
Based on the findings, the charity makes recommendations that we believe are key to ensuring safe and effective hospitalized diabetes treatment in the coming months. We also hope that these changes will “significantly reduce the burden on people fighting pandemics as winter approaches,” said Bridget Turner, Director of Policy Campaigns and Improvements for Diabetes UK. I will.
These recommendations are: Urgently maintain or recover an inpatient team with multidisciplinary diabetes. Involve a specialized diabetes team in planning the next steps in the COVID-19 pandemic. Implement the NHS England long-term plan commitments and ensure universal coverage of diabetes specialist nurses. Maintaining technological advances and introducing new systems where previously impossible. The route of surgical care for diabetics needs to be in place at all sites where surgery is performed, as the NHS wants to accelerate the return of non-COVID health services to near normal levels. there is. And prioritize the well-being of health professionals to ensure that there is time for rest and recovery.
Published August 18, 2020, UK diabetes
