One in four surgical patients experiences hyperglycemia during their hospital stay, and hyperglycemia is strongly associated with surgical site infections and other complications. “Patients want to know that when they have surgery, they will be safe from infection,” noted Dr. Thomas K. Varghese, Strong for Surgery Medical Director. Together with the Washington State Hospital Association (WSHA) and Qualis Health, several high-performing Strong for Surgery hospitals with successful advanced glycemic control programs have partnered with Strong for Surgery to address glycemic control practices for surgical patients across Washington State. The goal of this collaborative is to improve care and reduce surgical site infections through the development of best practices guidelines throughout the perioperative period.
The glycemic control collaborative reviewed current surgical glucose control practices across the State, lessons learned by members of the group, and evidence-based research on successful implementation of intra-operative glucose control to achieve better surgical outcomes.
Draft guidelines developed by the collaborative were presented at the April 23rd Partnership for Patients Safe Table “Reducing Surgical Site Infections in the Perioperative Period” by Dr. Varghese, Dr. Rachel Thompson of Harborview Medical Center, and Amber Theel of WSHA. The draft guidelines include best practices such as closer monitoring of patients at risk of hyperglycemia rather than focusing solely on patients with diagnosed diabetes, and revised lowered targets for optimal perioperative glucose levels.
Next, the collaborative will finalize the guidelines and develop a white paper for state-wide dissemination. To become involved with the collaborative, or to obtain a copy of the draft guidelines please contact Strong for Surgery at firstname.lastname@example.org.