Date on Paper


Document Type

Doctoral Paper

Degree Name


Committee Chair

Beverly William-Coleman

Committee Member

Celeste Shawler

Author's Keywords

diabetes management; diabetes flow sheet; clinical practice guidelines; diabetes algorithm; adherence to guidelines


Primary care practices that do not utilize electronic medical records (EMR) could pose difficulty in adhering to clinical guidelines for diabetic patients. Diabetes flow sheets are a one page document that includes current practice guideline recommendations for easy access of results to promote comprehensive care. The main objective of this project was to promote adherence to diabetes guidelines with the use of a diabetes flow sheet for providers that do not utilize an EMR.

Plan-Do-Study-Act was the design for this project. A total of 50 medical records were randomly selected at a primary care office. A pre and post-implementation of the diabetes flow sheet was audited for documentation of clinical practice guidelines (CPG). A post implementation evaluation was administered for the feasibility of the flow sheet and for evaluation. The results of the diabetes flow sheet to promote better adherence to CPG were significant. The total scores of the pre and post documentation mean (M) and standard deviation (SD) increased significantly from pre-implementation (M = 11.67, SD = 1.06) to post-implementation (M = 13.67, SD = 1.34), t (42) = 8.26, p<.0000. The mean differences in pre-implementation and post-implementation of diabetes flow sheet was (M = 2.00, SD = 1.59) with a 95% CI ranging from [1.51 to 2.48]. Maintaining a diabetes flow sheet in the front of the paper medical record is imperative so PCPs can utilize the process of the flow sheets to establish adequate care management for health outcomes for type 2 diabetes.

Included in

Nursing Commons