team healthcare Provision of an inpatient service that Proportion of people with diabetes who have Severe harm attributable to problems in respects the personal expertise of adults experienced hypoglycaemia requiring medical healthcare with type 1 diabetes (in managing their attention who are referred to a specialist diabetes own diabetes) and routinely integrate this Patient safety incident reports team into ward-based blood glucose monitoring and insulin delivery Reduction in incidents relating to insulin Evidence of local arrangements to ensure that causing harm people with diabetes who have experienced Provision of food choices for people with hypoglycaemia requiring medical attention are type 1 diabetes to ensure their dietary Initial outcomes: referred to a specialist diabetes team requirements are met , including the DISN service with qualified and introduction of bed time snacks, except Evidence of implementation of the Greater capable team members in place when illness or medical or surgical Manchester Reducing Harm Diabetes Inpatient DISN service operating as intervention significantly disturbs those Bundle of Care specified with sufficient capacity requirements DISN service supporting Evidence of a self-management policy inpatient care of diabetes Provision of a meal planning system for patients across all hospital inpatient adults with type 2 diabetes that services provides consistency in the carbohydrate Governance structure, clinical content of meals and snacks supervision and quality assurance approach are working Provision of electronic prescribing to ensure and maintain quality of service Provision of appropriate management of DISN supporting the patients with diabetes in hospital through implementation the Greater the use of the Greater Manchester Manchester Reducing Harm Reducing Harm Diabetes Inpatient Diabetes Inpatient Bundle of Bundle of Care * Care Provision of pre-operative assessment, Ongoing outcomes: optimisation, manipulation of patient’s Reduction in length of stay for normal drugs and shared patients with diabetes making in patients with diabetes requires a cross-specialty approach involving Reduced time requirements of anaesthetists, surgeons, diabetologists diabetes patients on other and DISN clinical staff due to being treated and managed by DISN Provision of a foot check and assessment Reduction in inpatient harms within 24 hours of admission and seen by including reduced medication foot MDT if ulceration is present errors and hypoglycaemic events Provision of care that takes into that takes Improve processes and systems account of multimorbidity, how they can and clinical capability in the be identified and what the care involves effective care of diabetes inpatients
Provision of an inpatient service that respects the personal expertise of adults with type 1 diabetes (in managing their own diabetes) and routinely integrate this into ward-based blood glucose monitoring and insulin delivery Provision of food choices for people with type 1 diabetes to ensure their dietary requirements are met , including the introduction of bed time snacks, except when illness or medical or surgical intervention significantly disturbs those requirements Provision of a meal planning system for inpatient adults with type 2 diabetes that provides consistency in the carbohydrate content of meals and snacks Provision of electronic prescribing Provision of appropriate management of patients with diabetes in hospital through the use of the Greater Manchester Reducing Harm Diabetes Inpatient Bundle of Care * Provision of pre-operative assessment, optimisation, manipulation of patient’s normal drugs and shared in patients with diabetes requires a cross-specialty approach involving anaesthetists, surgeons, diabetologists and DISN Provision of a foot check and assessment within 24 hours of admission and seen by foot MDT if ulceration is present Provision of care that takes into that takes account of multimorbidity, how they can be identified and what the care involves team Proportion of people with diabetes who have experienced hypoglycaemia requiring medical attention who are referred to a specialist diabetes team Evidence of local arrangements to ensure that people with diabetes who have experienced hypoglycaemia requiring medical attention are referred to a specialist diabetes team Evidence of implementation of the Greater Manchester Reducing Harm Diabetes Inpatient Bundle of Care Evidence of a self-management policy healthcare Severe harm attributable to problems in healthcare Patient safety incident reports Reduction in incidents relating to insulin causing harm Initial outcomes: DISN service with qualified and capable team members in place DISN service operating as specified with sufficient capacity DISN service supporting inpatient care of diabetes patients across all hospital services Governance structure, clinical supervision and quality assurance approach are working to ensure and maintain quality of service DISN supporting the implementation the Greater Manchester Reducing Harm Diabetes Inpatient Bundle of Care Ongoing outcomes: Reduction in length of stay for patients with diabetes Reduced time requirements of diabetes patients on other clinical staff due to being treated and managed by DISN Reduction in inpatient harms including reduced medication errors and hypoglycaemic events Improve processes and systems and clinical capability in the effective care of diabetes inpatients making