Improving Clinical Outcomes- Data Analysis, Goal Setting, and Change Plan for Enhanced Performance
According to Martinez et al. (2019), diabetes mellitus is a metabolic disorder characterized by the impaired metabolism of carbohydrates. Hyperglycemia occurs due to altered insulin secretion and can occur in the presence or absence of insulin resistance (Martinez et al., 2019). Type 2 diabetes mellitus can result from insulin resistance, inadequate secretion of insulin, or impaired glucagon secretion (Martinez et al., 2019). Early screening and close patient follow-up lead to a good prognosis of the disease (Martinez et al., 2019). Diminished screening and patient follow-up reflect poor management. Poorly managed diabetes mellitus can lead to acute diabetes emergencies and long-term macrovascular and microvascular complications (Peer et al., 2020). For that reason, evaluation of how early screening and patient follow-up can be used to decrease the incidence of diabetic emergencies and complications is essential. Our assignment writing help is at affordable prices to students of all academic levels and disciplines.
Data Table
| Current Outcomes | Change Strategies | Expected Outcomes |
| The hospital’s health care providers do not conduct regular diabetes screenings for visiting patients and the community. Furthermore, they do not conduct routine and dedicated patient follow-ups. These issues have resulted in undesirable clinical outcomes among diabetic patients. The documented outcomes include:
1. An increase in the incidences of microvascular and macrovascular complications. 2. Increased incidences of diabetic emergencies, including hyperosmolar hyperglycemic state and hypoglycemia. |
Different strategies can be adopted to ensure that the burden of microvascular, macrovascular, and diabetic emergencies is reduced;
1. Healthcare professionals should uphold routine screening exercises (Martinez et al., 2019). Accordingly, annual screening will be conducted on people aged 45 years and above and younger patients with predisposing factors such as obesity (Peer et al., 2020). The screening will focus on the fasting plasma glucose (FPG) levels, HbA1C level, random plasma glucose (RBG) levels, and oral glucose tolerance test (OGTT). RBG of 200mg/dl or more, FPG of 126mg/dl or more, BbA1C of 6.5% or more, and OGTT with plasma glucose of 200mg/dl or more confirm the diagnosis (Martinez et al., 2019). The screening will be done in the outpatient and inpatient departments. It will be a collaborative effort among nurses, physicians, and laboratory technicians (Johnson & Carragher, 2018). 2. Healthcare professionals should also intensify follow-ups of diabetic patients 3. The healthcare system should embrace patient education during screening, regular visits, and follow-ups (Chen et al., 2020). |
1. The incidences of microvascular and macrovascular will decrease significantly compared to the current outcome. This is because routine screening and follow-ups lead to early diagnosis of diabetes mellitus, which facilitates prompt initiation of treatment and other management strategies exercises (Martinez et al., 2019). Consequently, this promotes tight glycemic control, which improves the prognosis of the disease by reducing the development of diabetic complications (Peer et al., 2020). Furthermore, patient education enables patients to adhere to medications and detect signs and symptoms of diabetic complications (Chen et al., 2020). This will make them seek timely healthcare services and avert the progress of complications (Chen et al., 2020).
2. Reduced incidences of diabetic emergencies. Patient education will focus on adherence to medications and lifestyle modification (Chen et al., 2020). This promotes good control of blood sugar levels and helps to avert diabetic emergencies (Chen et al., 2020). Routine screening and follow-ups will help identify patients with poorly controlled blood sugar levels based on laboratory results (Martinez et al., 2019). Such patients are at a high risk of experiencing diabetic emergencies. The patients will be evaluated for compliance, and treatment regimens will be modified accordingly (Martinez et al., 2019). This helps to choose the best plan that adequately controls blood sugar levels and reduces the probability of occurrence of diabetic emergencies (Martinez et al., 2019.
|
Change Strategies and How They Achieve the Desired State
Diabetes emergencies a