Development and Implementation of Evidence-Based Guidelines for IV Insulin: A Statewide Collaborative Approach

Lawrence Stockton, RPh, Marianne Baird, RN, Curtiss B. Cook, MD, Robert C. Osburne, MD, Joyce Reid, RN, Kathryn McGowan, MPH, Sabrina Jarvis, MS

In early 2002, the Partnership for Health and Accountability identified hospitalized patients with diabetes and/or hyperglycemia as a high-risk group. It was determined that application of best practices may have a dramatic impact on inpatient morbidity and mortality rates. Multiple studies revealed striking decreases in morbidity and mortality rates when hyperglycemia was controlled in hospitalized patients.