Clinical Audit of Diabetes Care in the Bahrain Defence Forces Hospital
Objectives: Primary care audits in Bahrain have consistently revealed a failure to meet recognised standards of delivery of process and outcome measures to patients with diabetes. This study aimed to establish for the first time the quality of diabetes care in a Bahraini hospital setting. Methods: A...
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| Format: | Article |
| Language: | English |
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Sultan Qaboos University
2013-11-01
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| Series: | Sultan Qaboos University Medical Journal |
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| Online Access: | https://journals.squ.edu.om/index.php/squmj/article/view/1859 |
| _version_ | 1818833170781437952 |
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| author | Marwa M. Al-Baharna David L. Whitford |
| author_facet | Marwa M. Al-Baharna David L. Whitford |
| author_sort | Marwa M. Al-Baharna |
| collection | DOAJ |
| description | Objectives: Primary care audits in Bahrain have consistently revealed a failure to meet recognised standards of delivery of process and outcome measures to patients with diabetes. This study aimed to establish for the first time the quality of diabetes care in a Bahraini hospital setting. Methods: A retrospective clinical audit was conducted of a random sample of patients attending the Diabetes and Endocrine Center at the Bahrain Defence Forces Hospital over a 15-month period which ended in June 2010. The medical records of 287 patients with diabetes were reviewed electronically and manually for process and outcome measures, and a statistical analysis was performed. Results: Of the patients, 47% were male, with a median age of 54 years, and 5% had type 1 diabetes. Measured processes, including haemoglobin A1c, blood pressure, lipids, creatinine and weight, were recorded in over 90% of the patients. Smoking (8%) and the patient’s body mass index (19%) were less frequently recorded. Screening for complications was low, with retinal screening in 42%, foot inspection in 22% and microalbuminuria in 23% of patients. Conclusion: This study shows that the implementation of recognised evidence-based practice continues to pose challenges in routine clinical care. Screening levels for the complications of diabetes were low in this hospital diabetes clinic. It is important to implement a systematic approach to diabetes care to improve the quality of care of patients with diabetes which could lead to a lowering of cardiovascular risk and a reduction in healthcare costs in the long term. |
| first_indexed | 2024-12-19T02:14:40Z |
| format | Article |
| id | doaj.art-91d357c5932b409086f3b956bf6874bd |
| institution | Directory Open Access Journal |
| issn | 2075-051X 2075-0528 |
| language | English |
| last_indexed | 2024-12-19T02:14:40Z |
| publishDate | 2013-11-01 |
| publisher | Sultan Qaboos University |
| record_format | Article |
| series | Sultan Qaboos University Medical Journal |
| spelling | doaj.art-91d357c5932b409086f3b956bf6874bd2022-12-21T20:40:29ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282013-11-011345205261783Clinical Audit of Diabetes Care in the Bahrain Defence Forces HospitalMarwa M. Al-Baharna0David L. Whitford1Department of Family & Community Medicine, Royal College of Surgeons in Ireland‒Medical University of Bahrain, Busaiteen, BahrainDepartment of Family & Community Medicine, Royal College of Surgeons in Ireland‒Medical University of Bahrain, Busaiteen, BahrainObjectives: Primary care audits in Bahrain have consistently revealed a failure to meet recognised standards of delivery of process and outcome measures to patients with diabetes. This study aimed to establish for the first time the quality of diabetes care in a Bahraini hospital setting. Methods: A retrospective clinical audit was conducted of a random sample of patients attending the Diabetes and Endocrine Center at the Bahrain Defence Forces Hospital over a 15-month period which ended in June 2010. The medical records of 287 patients with diabetes were reviewed electronically and manually for process and outcome measures, and a statistical analysis was performed. Results: Of the patients, 47% were male, with a median age of 54 years, and 5% had type 1 diabetes. Measured processes, including haemoglobin A1c, blood pressure, lipids, creatinine and weight, were recorded in over 90% of the patients. Smoking (8%) and the patient’s body mass index (19%) were less frequently recorded. Screening for complications was low, with retinal screening in 42%, foot inspection in 22% and microalbuminuria in 23% of patients. Conclusion: This study shows that the implementation of recognised evidence-based practice continues to pose challenges in routine clinical care. Screening levels for the complications of diabetes were low in this hospital diabetes clinic. It is important to implement a systematic approach to diabetes care to improve the quality of care of patients with diabetes which could lead to a lowering of cardiovascular risk and a reduction in healthcare costs in the long term.https://journals.squ.edu.om/index.php/squmj/article/view/1859diabetesqualitycareauditbahrain. |
| spellingShingle | Marwa M. Al-Baharna David L. Whitford Clinical Audit of Diabetes Care in the Bahrain Defence Forces Hospital Sultan Qaboos University Medical Journal diabetes quality care audit bahrain. |
| title | Clinical Audit of Diabetes Care in the Bahrain Defence Forces Hospital |
| title_full | Clinical Audit of Diabetes Care in the Bahrain Defence Forces Hospital |
| title_fullStr | Clinical Audit of Diabetes Care in the Bahrain Defence Forces Hospital |
| title_full_unstemmed | Clinical Audit of Diabetes Care in the Bahrain Defence Forces Hospital |
| title_short | Clinical Audit of Diabetes Care in the Bahrain Defence Forces Hospital |
| title_sort | clinical audit of diabetes care in the bahrain defence forces hospital |
| topic | diabetes quality care audit bahrain. |
| url | https://journals.squ.edu.om/index.php/squmj/article/view/1859 |
| work_keys_str_mv | AT marwamalbaharna clinicalauditofdiabetescareinthebahraindefenceforceshospital AT davidlwhitford clinicalauditofdiabetescareinthebahraindefenceforceshospital |