PD539 - AUTOMATED COMMUNICATION IN HOSPITAL PRACTICE: NEW PERSPECTIVES FOR IMPROVING COORDINATION OF MEAL DISTRIBUTION AND BLOOD GLUCOSE MONITORING

PD539

AUTOMATED COMMUNICATION IN HOSPITAL PRACTICE: NEW PERSPECTIVES FOR IMPROVING COORDINATION OF MEAL DISTRIBUTION AND BLOOD GLUCOSE MONITORING

M. M. D. G. Da Silva¹, G. G. L. Bergamasco ¹, I. H. O. C. Avelino ¹, I. T. C. Salame¹, L. D. V. Pires¹, A. B. P. Vallilo¹, T. B. Modena², S. S. P. Queiroz³, W. M. Bezerra¹, P. B. D. P. Nogueira ¹, S. M. F. Piovacari^1,*

¹Clinical Nutrition Department, ²Department of Chronic Disease Management, ³Medical and Surgical Department, Hospital Israelita Albert Einstein, São Paulo, Brazil

Rationale: Capillary blood glucose monitoring in hospitalized patients requires timely coordination between nursing staff and the nutrition team. However, this process is often manual and prone to communication gaps. A previous departmental pilot study showed 76% agreement between meal delivery and glycemic monitoring.

Methods: This quality improvement project was conducted in a high-complexity philanthropic hospital in São Paulo, Brazil, focusing on the cardiology ward. Baseline data were collected 5 days before the intervention, during which pantry staff received training. Follow-up data were collected 5 days after implementation. The interventions consisted of a hospital mobile phone alert system in the pantry service, activated by staff responsible for meal delivery. The system simultaneously notifies all nursing staff in the unit via hospital mobile phone with an exclusive ringtone. Meal delivery–capillary glucose agreement and measurement timing were assessed, using a 15-minute acceptable range.

Results: Analysis comprised 30 meals at baseline and 38 meals post-implementation. Agreement between meal distribution and capillary glucose monitoring increased from 76% to 82% (+8%). Capillary blood glucose measurements were performed on average 11 minutes after meal distribution, with no pre- to post-intervention difference.

Conclusion: The intervention enhanced agreement between meal delivery and capillary blood glycemic monitoring. Nevertheless, limitations were observed in the tested technology. The use of less human-dependent systems, such as voice-based virtual assistants, may further optimize this process. Future initiatives should include smart hospital rooms and digital traceability systems to enhance accuracy and safety in hospital workflows.

Disclosure of Interest: None declared