Evaluation of bedside blood glucose monitoring by the phlebotomy team in an acute general care hospital |
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Authors: | J M Johnston P Grondziowski R M Windisch R A Eder L Lytle |
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Institution: | (1) Department of Medicine, Division of Endocrinology, The Mercy Hospital of Pittsburgh, 15219 Pittsburgh, PA, USA |
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Abstract: | A feasibility study was undertaken to evaluate laboratory phlebotomists performing bedside glucose monitoring (BGM) over a
3-month period on a medical and surgical floor. Specific questions included: feasibility of providing testing on a 24-h basis,
accuracy, appropriate utilization, effect on patient care, and an analysis of cost. In all, 1975 tests were performed on 114
patients. BGM results were within 15% of the laboratory's result 97% of the time. Patient and physician satisfaction was high.
Although the cost of BGM is slightly higher than a laboratory glucose test, its use appeared to reduce the length of hospital
stay by 0.47 days. Practical information on initiating a highly successful BGM program is provided. |
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Keywords: | Phlebotomist Bedside glucose monitoring Quality control |
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