None listed
Conditions
Brief summary
Audit comparing amount of nursing time taken and accuracy of blood glucose levels recorded in the electronic medical record for the standard Nova Biomedical glucose meter currently used for clinical care compared with the AMSL wi-fi connectivity Statstrip glucose meter. Nova Biomedical manufactures a wi-fi connectivity glucose meter which can upload its glucose data directly to the patient electronic medical record (eMR). We anticipate that using the wi-fi connectivity glucose meters will substantially save nursing time and also contribute to an increase in the accuracy of glucose recording in the eMR. We plan to compare the time taken to check and record in the eMR a finger prick glucose level using each glucose meter type and to determine the proportion of glucose levels recorded accurately in the eMR by each technique (correct patient, correct time, correct glucose level and delay to glucose being documented in the eMR).
Interventions
The aim of this pilot study is to assess the accuracy and time to transcription of the traditional, standard care glucose meter compared to the Point of Care (POC) testing glucose meter with wi-fi connectivity. The results of this study will inform the power calculation of the second part of this study, as detailed in a separate ANZCTR application. 10 patient participants will be recruited for the pilot study. The blood glucose of these individuals will be measured via a traditional glucometer
The aim of this pilot study is to assess the accuracy and time to transcription of the traditional, standard care glucose meter compared to the Point of Care (POC) testing glucose meter with wi-fi connectivity. The results of this study will inform the power calculation of the second part of this study, as detailed in a separate ANZCTR application. 10 patient participants will be recruited for the pilot study. The blood glucose of these individuals will be measured via a traditional glucometer and a POC Testing glucometer with connectivity to Wi-Fi. The Point of Care Testing glucose meter works similarly to the traditional glucose meter, except it automatically uploads the blood glucose reading to the patient participant’s electronic medical record (EMR). The nursing staff will need to be registered and provided with an individualised barcode swipe prior to testing the patient participant’s blood glucose. The nurse participant will also check blood glucose with the traditional glucose meter and transcribe the reading onto the relevant EMR, and part of the study is to assess the time taken for this transcription process to occur. As standard care, transcription of the BGL into EMR should immediately occur after the reading is taken. A single nurse participant will perform both measurements in a single patient. Nurse participants will be given training to operate the Wi-Fi connectivity glucose meter. The training will be provided by credentialed diabetes educator and POC testing NSW Health Pathology staff, and it will take approximately 10 minutes. Training will occur within 4 weeks prior to enrolment of the first patient participant. There will be a period of the nurses practicing using the connectivity glucose meters prior to enrolment of the first patient participant. Two assessor timekeepers will independently assess the time taken for the procedure in each of the 10 patients.
Sponsors
Nepean Hospital
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Diagnosis
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. For patient participants: patients who are admitted on the surgical wards at Nepean Hospital with pre-existing diabetes treated with diet alone, oral tablets or injectable therapy (e.g. insulin, GLP-1 agonists), who require regular blood glucose testing as part of the standard clinical care, including those already on continuous glucose monitoring. 2. For nurse participants: Nurses who are working on the surgical wards and involved in regular blood glucose measurements and who have been trained in the use of both the traditional glucose meter and wi-fi connectivity glucometers.
Exclusion criteria
1. Blood glucose measurements by nursing staff who are not trained to use the different types of glucometers (e.g. agency nurses, nursing students) 2. Patients without diabetes 3. Any nursing staff or patient who declines informed verbal consent to participate in the study
Outcome results
None listed