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Performance Improvement Measures in Achieving Glycemic Control in the Acute Brain Injury Population

Moyer, Megan T.

Journal of Neuroscience Nursing: April 2009 - Volume 41 - Issue 2 - p 72-82
doi: 10.1097/JNN.0b013e31819a714e

Glycemic control is becoming a standard practice in the intensive care environment because it has been shown to produce positive patient outcomes and benefits. A 14-bed neurointensive care unit initiated a strict glycemic protocol and evaluated the results over a 1-year period through a performance improvement initiative. Results indicated that tight glycemic control could be achieved safely by adhering to an evidence-based established protocol. The average blood glucose level for all patients was between 90 and 130 mg/dl by Day 2 after the implementation of the glycemic control protocol. The purpose of this article was to explain how a strict glycemic protocol was safely implemented. Further research is necessary to determine long-term benefits of glycemic control in the population with neurocritical illness.

Questions or comments about this article may be directed to Megan T. Moyer, MSN ACNP-BC, at She is an acute care nurse practitioner with the Department of Neurosurgery, Hospital of the University of Pennsylvania Medical Center, Philadelphia, PA.

© 2009 American Association of Neuroscience Nurses