Clinical Audit of Diabetes Care in the Bahrain Defence Forces Hospital
Journal Title: Sultan Qaboos University Medical Journal - Year 2013, Vol 13, Issue 4
Abstract
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. Tis study aimed to establish for the frst 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. Te 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: Tis 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.
Authors and Affiliations
Marwa M. Al-Baharna| Department of Family & Community Medicine, Royal College of Surgeons in Ireland‒Medical University of Bahrain, Busaiteen, Bahrain, David L. Whitford| Department of Family & Community Medicine, Royal College of Surgeons in Ireland‒Medical University of Bahrain, Busaiteen, Bahrain
Keywords
Related Articles
- EP ID EP14397
- DOI -
- Views 317
- Downloads 8
Second National Update on Chronic Obstructive Pulmonary Disease (COPD) Oman Respiratory Society and Sultan Qaboos University 14th October 2010
Keyhole Surgery of the Kidney at Sultan Qaboos University Hospital, Oman
Objectives: Percutaneous access surgery of the kidneys was introduced in Sultan Qaboos University Hospital (SQUH) in 998. We are presenting our early experience in the first 3 patients operated on over an eight ye...
Primary Endometrial Squamous Cell Carcinoma In Situ Report of a rare disease
Squamous cell carcinoma (SCC) of the endometrium, whether primary or secondary to cervical cancer, is a rare entity. Primary endometrial squamous cell carcinoma in situ is even more uncommon; it usually occurs in postm...
Lifestyle Habits Diet, physical activity and sleep duration among Omani adolescents
Objectives: Tis study aimed to investigate the lifestyle habits—physical activity (PA), eating habits (EH), and sleep duration (SD)—of Omani adolescents, and to examine gender differences in such variables. Methods...
Evaluation of Applicability of Standard Growth Curves to Healthy Native Omani Women by Fetal Biometry at Selected Gestational Ages
Objective – To verify the applicability of standard fetal growth curves proposed for Western populations to an Omani population. Method – Ultrasound scans were performed at selected stages of gestation on 165 healthy...