ArticleApplied clinical informatics2017
Insulin Bolus Calculator in a Pediatric Hospital. Safety and User Perceptions.
Article in Applied clinical informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Identifying the data elements and functionalities of clinical decision support systems to administer medication for neonates and pediatrics: a systematic literature review.BMC medical informatics and decision making · 2023Pooled it
- Inpatient Insulin Dosing Calculators.Diabetes spectrum : a publication of the American Diabetes Association · 2025Article
- Insulin Bolus Calculator: Lessons Learned from Institutional Experience.Journal of diabetes science and technology · 2021Article
- Clinician Perceptions of a Computerized Decision Support System for Pediatric Type 2 Diabetes Screening.Applied clinical informatics · 2020Article
- Self-Management Behaviors of Patients with Type 1 Diabetes: Comparing Two Sources of Patient-Generated Data.Applied clinical informatics · 2020Article
- Subcutaneous Insulin Dosing Calculators for Inpatient Glucose Control.Current diabetes reports · 2019Review
- User-Centered Development of an Online Platform for Drug Dosing Recommendations in Pediatrics.Applied clinical informatics · 2019Article
- Understanding Health Information Technology Induced Medication Safety Events by Two Conceptual Frameworks.Applied clinical informatics · 2019Article
- Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInsulin dosing in hospitalized pediatric patients is challenging and requires dosing to be matched with the specific clinical and nutritional circumstances. We implemented a customized subcutaneous insulin bolus dose calculator tool integrated with the electronic health record to improve patient care. Here we describe this tool, its utilization and safety, and assess user satisfaction and perceptions of the tool.
methodsBlood glucose results for all patients who received insulin with and without the calculator tool were compared to assess safety. To assess user perceptions and satisfaction, a survey was sent to all identified users who interacted with the tool during the period from May 2015 to the end of November 2015. Survey responses were summarized, mean user satisfaction calculated, and correlation of Likert scale items with overall satisfaction assessed.
resultsHypoglycemia rates (2.2% and 2.9%, p = 0.17) and severe hypoglycemia rates (0.04% and 0.1%, p = 0.21) were similar for the groups that received insulin with and without the calculator tool. Overall satisfaction for all survey respondents was high (4.05, SD = 0.83). Physicians indicated a slightly higher satisfaction than nurses (4.33 versus 3.94, p = 0.04). User agreement with improvement of quality of care showed the highest correlation with overall satisfaction (r = 0.80, 95% CI 0.7 - 0.87).
conclusionImplementation of an insulin calculator tool streamlined ordering and administration of insulin in a pediatric academic institution while maintaining patient safety. Users indicated high overall satisfaction with the tool.
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