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Heart Patients Whose Blood Sugar Is Kept Under Good Control in the Days Right After Surgery
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| Institution | Rating |
|---|---|
| U.S. Average1 | 95% |
| N.C. Average2 | 97% |
| Top Hospitals3 | 99% |
| Duke Raleigh Hospital4 | n/a |
| Duke University Hospital | 97% |
| Durham Regional Hospital | 100% |
The rates displayed in this graph are for discharges April 2011 through March 2012.
Source:
hospitalcompare.hhs.gov
(1) The U.S. average includes all reporting hospitals in the United States.
(2) The N.C. average includes all reporting hospitals in the state of North Carolina.
(3) "Top Hospitals" represent the top 10% of hospitals nationwide. These hospitals achieved 99% or better on this measure.
(4) This hospital treated patients with this condition, but no patients met the CMS criteria for inclusion in the measure calculation.
What Does This Measure?
This measures the percentage of all heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery.
Why Is This Important?
Keeping a heart patient's blood sugar under good control after surgery lowers the risk of infection and other problems -- even if they don't have diabetes. According to hospitalcompare.org, "under good control" means the patient's blood sugar should be 200 mg/dL or less when checked first thing in the morning.
What Are We Doing to Improve Our Performance?
Duke has enacted several initiatives to improve our performance. These include:
- Computerized physician order entry (CPOE)
- Electronic medical records (EMR)
- Evidence-based medicine
- Nursing and physician education
- OR View
- Patient safety and clinical quality committees
- Six Sigma
- Standardized order sets
- Surgery-specific discharge instructions and patient education materials
- Surgical care improvement project
More Information
