Table 1 PDRM intervention components
Category | Detail | Outcome data source |
|---|---|---|
An initial bedside assessment of the patient | Current and historical medications Feet and injection sites as appropriate Usual diabetes care provider Diabetes education history Patient-reported history of home glucose level | Reviewing the medical notes and trial paper case report forms |
A review of routinely collected investigations | Glucose monitoring Ketone monitoring where applicable HbA1c Annual review processes, TSH, urea, creatinine, ACR | Reviewing the medical notes and electronic data exports |
Recommendations resulting from the shared decision-making process | Links to relevant policies and guidance where appropriate Documented in the patients’ medical records | Reviewing the medical notes and trial paper case report forms |
Provision of any appropriate patient information | Leaflets App recommendations Other patient literature Signposting to any relevant patient-specific resources | Reviewing the medical notes and trial paper case report forms |
Handover of recommendations to the patient and patient’s primary team | Admitting speciality doctor Ward nurses | Reviewing the medical notes and trial paper case report forms |
Triage | No further follow-up Further follow-up by the diabetes specialist team—ongoing reviews will be managed in line with usual care | Reviewing the medical notes and trial paper case report forms |