Retrospective validation of Digital Evaluation of Ketosis and Other Diabetes Emergencies (DEKODE) algorithm: automated auditing system for diabetic ketoacidosis (DKA) management

Effective management of diabetic ketoacidosis (DKA) in line with national guidelines improves clinical outcomes and may reduce length of hospital stay.1 Regular auditing and performance feedback are key to achieving sustained and significant improvement in the management of DKA.2,3 One of the major limitations for maximal impact of an audit is the delay from initiation to results as the latter may not be applicable to the then current practice. In order to overcome this, our department of diabetes collaborated with the hospital's health informatics team and created an automated auditing system called Digital Evaluation of Ketosis and Other Diabetes …