Clinical Audit of Electronic Health Records to Identify Prediabetic Patients and Compliance with ICGP Guidelines in their Management

Authors

  • Robert Castledine Final-year medical student, University College Dublin, Dublin 4, Ireland.
  • Victoria Matuschka Final-year medical student, University College Dublin, Dublin 4, Ireland.
  • Eimear O'Reilly Coombe Family Practice, Dublin 8, Ireland.

DOI:

https://doi.org/10.5195/ijms.2023.2320

Keywords:

Clinical Audit, Prediabetes, Hba1c Protein, Human, Clinical Coding, Body Weights and Measures

Abstract

BACKGROUND: Current Irish College of General Practitioners (ICGP) Guidelines recommend that all patients with prediabetes have repeat HbA1c testing within 12 months, in addition to BMI and blood pressure measurement. It is also recommended that patients are provided with lifestyle advice. We carried out a clinical audit of electronic health records at a Dublin GP practice to evaluate adherence with guidelines.

METHODS: We searched electronic health records to identify all patients with HbA1c values between 42-48 mmol/mol dating back to 1 January 2016, excluding patients with a subsequent diagnosis of diabetes. We manually reviewed the records of 129 included patients to extract the relevant data.

RESULTS: 40.3% of patients had correct diagnosis coding. 74.4% of patients had their blood pressure checked within 2 months of a HbA1c result, whereas only 48.1% had their weight recorded. Of 81 patients with an initial HbA1c over 12 months previously, 66.6% had repeat testing within this period, and 33.3% of patients were either tested later or had no follow-up testing. A reference to lifestyle advice was made in the records of 52.7% of patients.

CONCLUSION: Management for a significant proportion of patients did not meet standards as per ICGP Guidelines. To improve this, we coded all patients with pre-diabetes and placed a reminder of their electronic chart to recheck Hba1c, BMI and BP within 12 months. We conducted an educational meeting with practice clinicians regarding ICGP guidelines. The plan is to re-audit at 6 and 12 months to evaluate the benefit of intervention.

Metrics

Metrics Loading ...

References

Quinlan, D. (2019). Diagnosis and management of uncomplicated Type 2 Diabetes in Adults (T2DM): A succinct practical guide for Irish General Practice: Quick Reference Guide, Irish College of General Practitioners.

Downloads

Published

2023-12-19

How to Cite

Castledine, R., Matuschka, V., & O’Reilly, E. (2023). Clinical Audit of Electronic Health Records to Identify Prediabetic Patients and Compliance with ICGP Guidelines in their Management. International Journal of Medical Students, 11, S66. https://doi.org/10.5195/ijms.2023.2320

Issue

Vol 11. (2023): Supplement 1

Section

Abstracts of the WCMSR

Categories

License

Copyright (c) 2023 Robert Castledine, Victoria Matuschka, Eimear O'Reilly

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

  1. The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
  2. Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
  3. The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
    1. Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site; with the understanding that the above condition can be waived with permission from the Author and that where the Work or any of its elements is in the public domain under applicable law, that status is in no way affected by the license.
    2. The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgment of its initial publication in this journal.
    3. Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
    4. Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
    5. The Author represents and warrants that:
      1. the Work is the Author’s original work;
      2. the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
      3. the Work is not pending review or under consideration by another publisher;
      4. the Work has not previously been published;
      5. the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
      6. the Work contains no libel, invasion of privacy, or other unlawful matter.
    6. The Author agrees to indemnify and hold Publisher harmless from the Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.

Enforcement of copyright

The IJMS takes the protection of copyright very seriously.

If the IJMS discovers that you have used its copyright materials in contravention of the license above, the IJMS may bring legal proceedings against you seeking reparation and an injunction to stop you using those materials. You could also be ordered to pay legal costs.

If you become aware of any use of the IJMS' copyright materials that contravenes or may contravene the license above, please report this by email to contact@ijms.org

 

Infringing material

If you become aware of any material on the website that you believe infringes your or any other person's copyright, please report this by email to contact@ijms.org