Assessing Patient Satisfaction of Providers’ Adherence to Inpatient Management with Continuous Subcutaneous Insulin Infusion (CSII) Policy: A Cross-Sectional Study

Abstract

There are unique challenges in managing patients with Continuous Subcutaneous Insulin Infusion (CSII) in the inpatient setting, but these challenges may be mitigated by institutional protocols and staff education. The purpose of our study was to determine the current level of patient satisfaction with the staff's adherence with anthe insulin pump policy and to identify areas for improvement. We hypothesize that the majority of patients will be satisfied with inpatient CSII management, as our institute's insulin pump policy had been implemented with educational sessions one year prior. We created a 20-question survey to assess patient satisfaction in regards to their inpatient CSII management which is governed by a system-wide insulin pump policy. 50 adult patients with both type 1 and type 2 diabetes managed with insulin pumps admitted to the hospital for medical care were surveyed. Fisher's exact test was used to measure the association between categorical variables and satisfaction. Of those surveyed, 78% were satisfied with CSII management in the hospital. However, only 62% of participants answered favorably to the statement which evaluated Emergency Department (ED) staff communication regarding the current insulin pump policy. Therefore, targeted education to Emergency Department (ED) staff regarding the availability of an insulin pump protocol and nursing measures to limit CSII disconnection time may further improve patient satisfaction.