onr:"swepub:oai:DiVA.org:liu-108804"
Search: onr:"swepub:oai:DiVA.org:liu-108804" > Improved Results in...
- 1 of 1
- Previous record
- Next record
- To hitlist
Improved Results in Paediatric Diabetes Care Using a Quality Registry in an Improvement Collaborative: A Case Study in Sweden
-
- Peterson, Anette (author)
- Jönköping University,The Jönköping Academy for Improvement of Health and Welfare,Jonköping University, Sweden Jonköping County Council, Sweden
-
- Hanberger, Lena (author)
- Linköpings universitet,Avdelningen för omvårdnad,Hälsouniversitetet,Department of Clinical and Experimental Medicine, Division of Pediatrics and Diabetes. Research Center, Linköping University Hospital, Linköping, Sweden
-
- Åkesson, Karin (author)
- Jönköping University,The Jönköping Academy for Improvement of Health and Welfare,Department of Pediatric, County Hospital Ryhov, Jönköping, Sweden,County Hospital Ryhov, Sweden Jonköping University, Sweden Jonköping County Council, Sweden
- show more...
- show less...
- (creator_code:org_t)
- 2014-05-27
- 2014
- English.
- In: PLOS ONE. - : Public Library of Science. - 1932-6203. ; 9:5, s. e0097875-
- Journal article (peer-reviewed)
Abstract
Subject headings
Close
- Background: Several studies show that good metabolic control is important for children and adolescents with type 1 diabetes. In Sweden, there are large differences in mean haemoglobin A1c (HbA1c) in different hospitals and difficulties implementing national guidelines in everyday practice. This study shows how the participation in an improvement collaborative could facilitate improvements in the quality of care by paediatric diabetes teams. The Swedish paediatric diabetes quality registry, SWEDIABKIDS was used as a tool and resource for feedback and outcome measures. Methods: Twelve teams at paediatric diabetes centres, caring for 30% (2302/7660) of patients in Sweden, participated in an 18-month quality improvement program. Each team defined treatment targets, areas needing improvement, and action plans. The main outcome was the centre patients mean HbA1c levels, but other clinical variables and change concepts were also studied. Data from the previous six months were compared with the first six months after starting the program, and the long-term follow up after another eleven months. Results: All centres reduced mean HbA1c during the second and third periods compared with the first. The mean reduction for all was 3.7 mmol/mol (pless than0.001), compared with non-participating centres who improved their mean HbA1c with 1.7 mmol/mol during the same period. Many of the participating centres reduced the frequency of severe hypoglycaemia and/or ketoacidosis, and five centres reached their goal of ensuring that all patients had some sort of physical activity at least once weekly. Change concepts were, for example, improved guidelines, appointment planning, informing the patients, improving teamwork and active use of the registry, and health promotion activities. Conclusions: By involving paediatric diabetes teams in a quality improvement collaborative together with access to a quality register, the quality of paediatric diabetes care can improve, thereby contributing to a reduced risk of late complications for children and adolescents with diabetes.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
Keyword
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
- 1 of 1
- Previous record
- Next record
- To hitlist
Find more in SwePub
- By the author/editor
- Peterson, Anette
- Hanberger, Lena
- Åkesson, Karin
- Bojestig, Mats
- Andersson-Gäre, ...
- Samuelsson, Ulf
- About the subject
-
- MEDICAL AND HEALTH SCIENCES
- MEDICAL AND HEAL ...
- and Clinical Medicin ...
- and Endocrinology an ...
- Articles in the publication
- PLOS ONE
- By the university
- Linköping University
- Jönköping University
Search outside SwePub
- Extend your search to:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - National Library Systems
- LIBRIS.kb.se
