Virtual trial protocol analysis of nursing workload intensity within ICU
Biomedical engineering; Insulin; Intensive care units; Nursing; Safety engineering; Control performance; Control protocols; Glargine; Intensive-care patients; Model-based OPC; Protocol analysis; Workload intensities; Workload reduction; Patient treatment
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Springer Verlag
2023
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my.uniten.dspace-230002023-05-29T14:14:03Z Virtual trial protocol analysis of nursing workload intensity within ICU Razak N.N.B.A. Razak A.A. Pretty C.G. Ahamad N.H. Suhaimi F.M. Jamaluddin U. 37059587300 56960052400 6508290605 56960410200 36247893200 55330889600 Biomedical engineering; Insulin; Intensive care units; Nursing; Safety engineering; Control performance; Control protocols; Glargine; Intensive-care patients; Model-based OPC; Protocol analysis; Workload intensities; Workload reduction; Patient treatment Currently, effective glycaemic control protocols consume significant nursing time, which may be unsustainable as the number of patients requiring control increases with increasing rates of diabetes. This paper investigates the safety and efficacy of basal insulin therapy as a means to reduce nurse workload associated with glycaemic control in intensive care patients with stress hyperglycaemia. Validated virtual trial simulations (N = 40 patients) of a successful glycaemic control protocol (SPRINT) using 1-2 hourly interventions and a modified version using 4 hour interventions augmented with basal insulin therapy using Glargine. An additional model was used to capture the kinetics of Glargine. Workload was assessed by counting the total number of interventions (BG measurements, changes to insulin and nutrition rates) per day. Glycaemic performance was assessed by time in the target band (4.4-7.0 mmol/L) and number of severe hypoglycaemic episodes (BG<2.2 mmol/L). Workload reduction is around 30% (p<0.001) due to basal insulin therapy. Glycaemic control performance was slightly reduced from 86% to 80% (p=0.006) time in the target band using basal insulin therapy and 4 hourly interventions. However, safety was maintained with 0 incidence hypoglycaemia. Basal insulin therapy enables glycaemic control protocols with reduced intervention frequency while maintaining performance and safety. Reduced intervention frequency directly translates into reduced nurse workload associated with glycaemic control. � International Federation for Medical and Biological Engineering 2016. Final 2023-05-29T06:14:03Z 2023-05-29T06:14:03Z 2016 Conference Paper 10.1007/978-981-10-0266-3_62 2-s2.0-84952845303 https://www.scopus.com/inward/record.uri?eid=2-s2.0-84952845303&doi=10.1007%2f978-981-10-0266-3_62&partnerID=40&md5=1bc668a0a15c5c61d1ba70443730d704 https://irepository.uniten.edu.my/handle/123456789/23000 56 294 297 Springer Verlag Scopus |
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| description |
Biomedical engineering; Insulin; Intensive care units; Nursing; Safety engineering; Control performance; Control protocols; Glargine; Intensive-care patients; Model-based OPC; Protocol analysis; Workload intensities; Workload reduction; Patient treatment |
| author2 |
37059587300 |
| author_facet |
37059587300 Razak N.N.B.A. Razak A.A. Pretty C.G. Ahamad N.H. Suhaimi F.M. Jamaluddin U. |
| format |
Conference Paper |
| author |
Razak N.N.B.A. Razak A.A. Pretty C.G. Ahamad N.H. Suhaimi F.M. Jamaluddin U. |
| spellingShingle |
Razak N.N.B.A. Razak A.A. Pretty C.G. Ahamad N.H. Suhaimi F.M. Jamaluddin U. Virtual trial protocol analysis of nursing workload intensity within ICU |
| author_sort |
Razak N.N.B.A. |
| title |
Virtual trial protocol analysis of nursing workload intensity within ICU |
| title_short |
Virtual trial protocol analysis of nursing workload intensity within ICU |
| title_full |
Virtual trial protocol analysis of nursing workload intensity within ICU |
| title_fullStr |
Virtual trial protocol analysis of nursing workload intensity within ICU |
| title_full_unstemmed |
Virtual trial protocol analysis of nursing workload intensity within ICU |
| title_sort |
virtual trial protocol analysis of nursing workload intensity within icu |
| publisher |
Springer Verlag |
| publishDate |
2023 |
| _version_ |
1806423995199782912 |
| score |
13.214268 |