Volume 216 - Issue 2
The Queensland Inpatient Diabetes Survey (QuIDS) 2019: the bedside audit of practice
Authors: Peter Donovan, Benjamin P Sly and Gaurav Puri
Med J Aust 2022; 216 (2): 105-105. || doi: 10.5694/mja2.51379
Published online: 7 February 2022
Published online: 7 February 2022
In reply
In reply: We acknowledge the valuable comments of Barmanray and colleagues1 and agree with the points made. While a bedside audit of practice such as the Queensland Inpatient Diabetes Survey (QuIDS) has the ability to assess glycaemic control, there is also the potential to measure other aspects of inpatient diabetes management, including diabetic foot and perioperative care, the incidence of prescribing errors, and the assessment of patients’ experience. Glucometric analysis, however, has the potential for near‐real time assessment of glycaemic parameters and the ability to use these measures to intervene and improve patient outcomes.2 But it requires hospitals to have access to an electronic medical record or to networked blood glucose monitoring, technology that is not available in many hospitals.
Queensland has only 15 hospitals that currently use an advanced integrated electronic medical record. A number of these hospitals have incorporated into routine clinical practice near‐real time digital diabetes dashboards to identify high risk inpatients and provide early specialist diabetes intervention. These data visibility solutions have been shown to improve glucometric outcomes2 and to reduce patient length of stay.3,4
QuIDS 2019 has offered an opportunity for 27 small, medium and large hospitals across Queensland to audit and benchmark inpatient diabetes outcomes. However, this collaboration has the potential to expand both in size — QuIDS 2021 was recently conducted and included 35 hospitals — and, as the technology becomes more widely available, scope, and could include glucometric analysis and benchmarking, akin to the work from Melbourne.5
Competing interests
No relevant disclosures.
References
- Barmanray RD, Kyi M, Fourlanos S. The Queensland Inpatient Diabetes Survey (QuIDS) 2019: the bedside audit of practice [letter]. Med J Aus 2021; 216: 104–104.
- Rushakoff RJ, Sullivan MM, MacMaster HW, et al. Association between a virtual glucose management service and glycemic control in hospitalized adult patients: an observational study. Ann Intern Med 2017; 166: 621–627.
- Sheen YJ, Huang CC, Huang SC, et al. Implementation of an electronic dashboard with a remote management system to improve glycemic management among hospitalized adults. Endocr Pract 2020; 26: 179–191.
- Swee DS, Ang LC, Heng WM, et al. Inpatient glucose management programme in the Asian healthcare setting. Int J Clin Pract 2017; https://doi.org/10.1111/ijcp.12985 [Epub ahead of print].
- Kyi M, Colman PG, Rowan LM, et al. Glucometric benchmarking in an Australian hospital enabled by networked glucose meter technology. Med J Aust 2019; 211: 175–180. https://www.mja.com.au/journal/2019/211/4/glucometric‐benchmarking‐australian‐hospital‐enabled‐networked‐glucose‐meter
Linked content
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MJA Research: The Queensland Inpatient Diabetes Survey (QuIDS) 2019: the bedside audit of practice
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MJA Letter: The Queensland Inpatient Diabetes Survey (QuIDS) 2019: the bedside audit of practice