Evidence map›Paper›PMID 27317577›Full record

ArticlePediatrics2016

Reduction of Insulin Related Preventable Severe Hypoglycemic Events in Hospitalized Children.

Amy Poppy, Claudia Retamal-Munoz, Melanie Cree-Green, Colleen Wood, Shanlee Davis, Scott A Clements, Shideh Majidi, Andrea K Steck, G Todd Alonso, Christina Chambers and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Amy PoppyQuality and Patient Safety, Children's Hospital Colorado, Aurora, Colorado; amy.poppy@childrenscolorado.org.
Claudia Retamal-MunozDivision of Endocrinology.
Melanie Cree-GreenDivision of Endocrinology, Barbara Davis Center for Childhood Diabetes, and.
Colleen WoodDivision of Endocrinology, Barbara Davis Center for Childhood Diabetes, and.
Shanlee DavisDivision of Endocrinology, Barbara Davis Center for Childhood Diabetes, and.
Scott A ClementsDivision of Endocrinology, Barbara Davis Center for Childhood Diabetes, and Division of Endocrinology, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah.
Shideh MajidiDivision of Endocrinology, Barbara Davis Center for Childhood Diabetes, and.
Andrea K SteckDivision of Endocrinology, Barbara Davis Center for Childhood Diabetes, and.
G Todd AlonsoDivision of Endocrinology, Barbara Davis Center for Childhood Diabetes, and.
Christina ChambersDivision of Endocrinology, Barbara Davis Center for Childhood Diabetes, and.
Arleta RewersSection of Emergency Medicine, Department of Pediatrics, University of Colorado Anschutz, Aurora, Colorado; and.
Diabetes Australia · AUUniversity of Colorado Anschutz Medical Campus · USUniversity of Colorado Denver · USUniversity of Utah · US

Funding

Training Program in Diabetes ResearchT32DK063687 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Andrea Steck · 2002 to 2026
$5.2M
NIDDK NIH HHS T32 DK063687
6 · The paper itself

Abstract

objectiveInsulin is a commonly used, high-risk medication in the inpatient setting. Incorrect insulin administration can lead to preventable hypoglycemic events, which are a significant morbidity in inpatient diabetes care. The goal of this intervention was to decrease preventable insulin-related hypoglycemic events in an inpatient setting in a tertiary care pediatric hospital.

methodsMethods included the institution of several interventions such as nursing and physician education, electronic medical record order sets, electronic communication note templates, and the development of new care guidelines.

resultsAfter the institution of multiple interventions, the rate of preventable hypoglycemic events decreased from 1.4 preventable events per 100 insulin days to 0.4 preventable events per 100 insulin days.

conclusionsThrough the use of a multi-interventional approach with oversight of a multidisciplinary insulin safety committee, a sustained decreased rate of severe preventable hypoglycemic events in hospitalized pediatric patients receiving insulin was achieved.

Indexed as

HospitalizationQuality ImprovementAdolescentChildChild, PreschoolFemaleHospitals, PediatricHumansHypoglycemiaHypoglycemic AgentsInfantInsulinMalePractice Guidelines as TopicRetrospective StudiesSeverity of Illness IndexHypoglycemic AgentsInsulin

Identifiers

PMID27317577
PMCPMC5901907
OpenAlexW2426818784

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.