ArticleJoint Commission journal on quality and patient safety2012
Implementing and evaluating a multicomponent inpatient diabetes management program: putting research into practice.
Article in Joint Commission journal on quality and patient safety, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Cost and economic benefit of clinical decision support systems for cardiovascular disease prevention: a community guide systematic review.Journal of the American Medical Informatics Association : JAMIA · 2017Pooled it
- Clinical Decision Support Systems and Prevention: A Community Guide Cardiovascular Disease Systematic Review.American journal of preventive medicine · 2015Pooled it
- A multi-site randomized trial of a clinical decision support intervention to improve problem list completeness.Journal of the American Medical Informatics Association : JAMIA · 2023Trial
- "Mellitus Metrics"-Systematic Review of Glucometric Reporting within Hospital-Based Diabetes Studies (2006-2023).Journal of diabetes science and technology · 2026Review
- Empowering Hospitalized Patients With Diabetes: Implementation of a Hospital-wide CGM Policy With EHR-Integrated Validation for Dosing Insulin.Diabetes care · 2024Article
- Centers for Medicare & Medicaid Services' Hospital Harm Measures for Severe Hypoglycemia and Hyperglycemia: Is Your Hospital Ready?Diabetes spectrum : a publication of the American Diabetes Association · 2022Article
- The Endocrine Hospitalist: Enhancing the Quality of Diabetes Care.Journal of diabetes science and technology · 2021Article
- Effects of a Dedicated Inpatient Diabetes Management Service on Glycemic Control in a Community Hospital Setting.Journal of diabetes science and technology · 2021Article
- The Financial Impact of an Inpatient Diabetes Management Service.Current diabetes reports · 2021Review
- Evaluating the effectiveness of a multi-faceted inpatient diabetes management program among hospitalised patients with diabetes mellitus.Clinical diabetes and endocrinology · 2020Article
- Reducing Inpatient Hypoglycemia in the General Wards Using Real-time Continuous Glucose Monitoring: The Glucose Telemetry System, a Randomized Clinical Trial.Diabetes care · 2020Article
- Patterns and predictors of antihyperglycemic intensification at hospital discharge for type 2 diabetic patients not on home insulin.Journal of clinical & translational endocrinology · 2020Article
- Predictors of Time-to-Repeat Point-of-Care Glucose Following Hypoglycemic Events in Hospitalized Patients.Journal of diabetes science and technology · 2020Article
- Effect of informatization-based blood glucose team management on the control of hyperglycaemia in noncritical care units.PloS one · 2020Article
- EATING AND GLYCEMIC CONTROL AMONG CRITICALLY ILL PATIENTS RECEIVING CONTINUOUS INTRAVENOUS INSULIN.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2020Article
- Inpatient Diabetes Education in the Real World: an Overview of Guidelines and Delivery Models.Current diabetes reports · 2019Review
- Using marginal standardisation to estimate relative risk without dichotomising continuous outcomes.BMC medical research methodology · 2019Article
- Development and Implementation of a Subcutaneous Insulin Clinical Decision Support Tool for Hospitalized Patients.Journal of diabetes science and technology · 2019Article
- Retrospective study of inpatient diabetes management service, length of stay and 30-day readmission rate of patients with diabetes at a community hospital.Journal of community hospital internal medicine perspectives · 2019Article
- Study protocol: a pragmatic, stepped-wedge trial of tailored support for implementing social determinants of health documentation/action in community health centers, with realist evaluation.Implementation science : IS · 2019Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundStrategies for successful implementation of hospitalwide glucose control efforts were addressed in a conceptual model for the development and implementation of an institutional inpatient glucose management program. CONCEPTUAL MODEL COMPONENTS: The Glucose Steering Committee incrementally developed and implemented hospitalwide glucose policies, coupled with targeted education and clinical decision support to facilitate policy acceptance and uptake by staffwhile incorporating process and outcome measures to objectively assess the effectiveness of quality improvement efforts. The model includes four components: (1) engaging staff and hospital executives in the importance of inpatient glycemic management, (2) educating staff involved in the care of patients with diabetes through structured knowledge dissemination, (3) executing evidence-based inpatient glucose management through development of policies and clinical decision aids, and (4) evaluating intervention effectiveness through assessing process measures, intermediary glucometric outcomes, and clinical and economic outcomes. An educational curriculum for nursing, provider, and pharmacist diabetes education programs and current glucometrics were also developed. OUTCOMES: Overall the average patient-day-weighted mean blood glucose (PDWMBG) was below the currently recommended maximum of 180 mg/dL in patients with diabetes and hyperglycemia, with a significant decrease in PDWMBG of 7.8 mg/dL in patients with hyperglycemia. The program resulted in an 18.8% reduction in hypoglycemia event rates, which was sustained.
conclusionInpatient glucose management remains an important area for patient safety, quality improvement, and clinical research, and the implementation model should guide other hospitals in their glucose management initiatives.
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