Implementation of a National Guideline with Local Changes: Does an Abbreviated Adult Diabetic Ketoacidosis (DKA) Protocol Improve Local Uptake and Overall Clinical Care?

Abstract

Aims: To evaluate management of diabetic ketoacidosis (DKA) before and after introduction of a new abbreviated trust DKA guidelines in Sandwell and West Birmingham NHS Trust (SWBHT). Methods: Retrospective review of DKA admission case notes using a revised SWBHT DKA guideline (introduced Aug 2015). An audit proforma was used to evaluate each patient's diagnosis, assessment of clinical severity and