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JCOM Abstract


J Clin Outcomes Manage 
2008 Aug;15(8):384-392
Length of stay safely reduced with a diabetes clinical pathway in an urban children's hospital
Cogen FR, Johnson PA, Pastor W, Kaplowitz PB

Abstract Objective: To describe the development and implementation of an inpatient diabetes pathway in a pediatric medical center. Methods: A multidisciplinary pathway team led by the diabetes program director used American Diabetes Association clinical practice recommendations, other peer-reviewed guidelines, and expert opinion to develop the pathway. Patient education by diabetes nurse educators is a key component of the pathway. Results: Following initiation of the pathway, average length of stay for new patients and return patients has decreased. There has been only 1 serious event since 1997 and an extremely low rate of readmission within 72 hours of discharge. Conclusion: A childhood and adolescent diabetes program and pathway can increase efficiency of medical management and provide high quality care for a vulnerable population.

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