Joint Commission journal on quality and patient safety / Joint Commission Resources
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The effect of an intensive glycemic management protocol was assessed in a heterogeneous population of critically ill adult patients. ⋯ The 29.3% relative reduction in hospital mortality seen among the treatment patients following institution of the protocol probably exceeded the expectations of the initiative's champions. The culture of the ICU regarding glycemic control changed definitively. The protocol was extended to an intermediate care unit, resulting in improvement in glycemic control without an increase in hypoglycemia.