Publication Name	World Journal of Methodology
Manuscript ID	115150
Country	United States

Category	Endocrinology & Metabolism
Manuscript Type	Opinion Review
Article Title	Improving diagnostic accuracy of 72-hour supervised fasting test for hypoglycemia evaluation: A quality improvement project
Manuscript Source	Invited Manuscript
All Author List	Fateen Ata, Adeel Ahmad Khan, Mohammad Zeyad Mohammad Nofal, Elabbass A Abdelmahmuod, Rabia Fawad, Dabia Al Mohanadi and Zeinab Dabbous
Funding Agency and Grant Number
Corresponding Author	Fateen Ata, Academic Fellow, MD, Principal Investigator, Department of Internal Medicine, Cleveland Clinic Foundation, 9500 Cleveland Clinic, Cleveland, OH 44118, United States. docfateenata@gmail.com
Key Words	Hypoglycemia; Fasting hypoglycemia; Quality improvement; 72-hour supervised fast; C-Peptide; Insulin
Core Tip	The 72-hour supervised fasting test is the cornerstone in evaluating fasting hypoglycemia, but remains vulnerable to procedural inconsistencies. This quality improvement project improved the diagnostic accuracy of the 72-hour supervised fasting test from 33.3% to 100% within two plan-do-study-act cycles. Key interventions included protocol standardization, an electronic medical records-integrated order bundle, targeted clinician and nursing education, and real-time clinical decision support prompts. These improvements were achieved without extending the length of stay, thus preserving patient flow. This project demonstrated promising sustainability and reproducibility in improving hypoglycemia evaluation, with multimodal effects on healthcare, including enhanced clinical outcomes, improved patient experiences, and potential cost reductions.
Citation	Ata F, Khan AA, Mohammad Nofal MZ, Abdelmahmuod EA, Fawad R, Al Mohanadi D, Dabbous Z. Improving diagnostic accuracy of 72-hour supervised fasting test for hypoglycemia evaluation: A quality improvement project. World J Methodol 2025; In press

Received	2025-10-09 17:28
Peer-Review Started	2025-10-09 17:28
First Decision by Editorial Office Director	2025-10-17 08:45
Return for Revision	2025-10-17 08:45
Revised	2025-10-20 23:50
Publication Fee Transferred
Second Decision by Editor	2025-12-26 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2025-12-26 06:40
Articles in Press	2025-12-26 06:40
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2222-0682 (online)
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