Successful Implementation of a Perioperative Glycemic Control Protocol in Cardiac Surgery: Barrier Analysis and Intervention Using Lean Six Sigma

@inproceedings{Martnez2011SuccessfulIO,
  title={Successful Implementation of a Perioperative Glycemic Control Protocol in Cardiac Surgery: Barrier Analysis and Intervention Using Lean Six Sigma},
  author={Elizabeth Alvarado Mart{\'i}nez and Raul Chavez-Valdez and Natalie F. Holt and Kelly L. Grogan and Katherine W. Khalifeh and Tammy Slater and Laura E. Winner and Jennifer E. Moyer and Christoph U. Lehmann},
  booktitle={Anesthesiology research and practice},
  year={2011}
}
  • Elizabeth Alvarado Martínez, Raul Chavez-Valdez, +6 authors Christoph U. Lehmann
  • Published in
    Anesthesiology research and…
    2011
  • Medicine
  • Although the evidence strongly supports perioperative glycemic control among cardiac surgical patients, there is scant literature to describe the practical application of such a protocol in the complex ICU environment. This paper describes the use of the Lean Six Sigma methodology to implement a perioperative insulin protocol in a cardiac surgical intensive care unit (CSICU) in a large academic hospital. A preintervention chart audit revealed that fewer than 10% of patients were admitted to the… CONTINUE READING

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