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
This study is a direct follow up of the pilot NEAT study (ACTRN 12624000652572). The aim of this randomised control trial (RCT) is to compare the time taken and accuracy of blood glucose level (BGL) recording by nurses. For each routine BGL check on a patient, a nurse participants will be randomised to use either the standard care glucometer (control) or Point of Care Testing wi-fi enabled connectivity glucometer (intervention).
The number of glucose checks required for this study will be inf
This study is a direct follow up of the pilot NEAT study (ACTRN 12624000652572). The aim of this randomised control trial (RCT) is to compare the time taken and accuracy of blood glucose level (BGL) recording by nurses. For each routine BGL check on a patient, a nurse participants will be randomised to use either the standard care glucometer (control) or Point of Care Testing wi-fi enabled connectivity glucometer (intervention). The number of glucose checks required for this study will be informed by a calculation using the results of the pilot study. Nurse participants will be randomised to either use the standard glucose meter or wi-fi enabled connectivity glucose meter. The Point of Care Testing glucose meter works similarly to the standard glucose meter, except it automatically uploads the blood glucose reading to the patient participant’s electronic medical record (EMR). If using the Point of Care Testing glucose meter, the nurse participant will need to be registered and provided with an individualised barcode swipe prior to testing the patient's blood glucose. Training of nurse participants will be provided during the pilot study phase. Training will be conducted by credentialed diabetes educator and POC testing NSW Health Pathology staff, and it will take approximately 10 minutes. The patients are not participants in this study as their blood glucose will be check by the usual bedside fingerprick glucose meter method.
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
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