Sustaining improvement in diabetes-related ketoacidosis management through a Quality Improvement ProjectSustaining improvement in diabetic ketoacidosis management through Quality Improvement Project

Introduction Diabetes-related ketoacidosis (DKA) is a life-threatening complication of diabetes which requires rapid assessment and treatment.1 Although mortality has decreased over the years, DKA still causes considerable morbidity and mortality amongst adults, adolescents and children.2 Existing quality improvement projects (QIP) have demonstrated that use of evidence-based protocols and order sets is able to improve outcomes associated with DKA management.3,4 However, we did not find any studies demonstrating sustainable improvements over a long period. People presenting with DKA represent a considerable financial and resource burden.5 Reducing the duration of DKA would therefore substantially reduce the disease and resource burden associated with diabetes.