Retrospective validation of Digital Evaluation of Ketosis and Other Diabetes Emergencies (DEKODE) algorithm: automated auditing system for diabetic ketoacidosis (DKA) management

摘要

IntroductionEffective management of diabetic ketoacidosis (DKA) in linewith national guidelines improves clinical outcomes and mayreduce length of hospital stay.1 Regular auditing and performancefeedback are key to achieving sustained and significantimprovement in the management of DKA.2,3 One of the majorlimitations for maximal impact of an audit is the delay frominitiation to results as the latter may not be applicable to thethen current practice. In order to overcome this, our departmentof diabetes collaborated with the hospital’s health informaticsteam and created an automated auditing system called DigitalEvaluation of Ketosis and Other Diabetes Emergencies (DEKODE).This system identifies DKA episodes based on prescriptions for fixedrate intravenous insulin infusion (FRIII). In this study, we aimedto retrospectively validate DEKODE system for monitoring DKAmanagement.