Diabetes education, the good, the bad and the ugly: An online survey of training needs of doctors across various clinical specialities in a district general hospital

Garg, A.

Diabetes education, the good, the bad and the ugly: An online survey of training needs of doctors across various clinical specialities in a district general hospital - 2015

NMUH Staff Publications EMBASE 32

<span style="font-size: 10pt;"><span style="color: #4a4a4a; font-family: Lato, &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; text-decoration-color: initial;">Background: The National Diabetes Inpatient Audit regularly highlights the worrying frequency with which medication errors occur in diabetes care. The 2013 audit found that 37% of inpatients had at least one diabetes medication error most commonly in those treated with insulin. Since most patients with diabetes are admitted for a non-diabetes condition, the majority of inpatients were not under the care of a diabetes consultant. We did an online survey to allow us to plan the education for staff managing patients with diabetes and to rate their confidence in managing common diabetic emergencies and medications. Aim: To gain an understanding of hospital doctors' knowledge and their confidence in managing hypoglycaemia, diabetic ketoacidosis (DKA), hyperglycaemic hyperosmolar state (HHS), adjustment of insulin infusions, oral hypoglycaemic agents and subcutaneous insulin. Methods: All doctors across the trust were invited to participate in an online survey. Results: 82 doctors responded to the survey. 48% of respondents had little or no experience in managing HHS, 21% in managing DKA and 18% in hypoglycaemia. 35% of respondents reported little or no experience in switching insulin infusions and more than a third lacked confidence in titrating insulin and oral medications. Conclusions: We identified a significant proportion of colleagues, across various specialities and grades, who felt they would greatly benefit from formal structured teaching to improve their knowledge in managing diabetes emergencies and titrating medications. We are in the process of purchasing access to online diabetes education modules and putting in place an extensive diabetes education programme.</span>&nbsp;(Conference abstract)</span>
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