Evidence map›Paper›PMID 30378222›Full record

ArticleJournal of evaluation in clinical practice2019

Overcoming barriers to diabetes care in the hospital: The power of qualitative observations to promote positive change.

Ariana Pichardo-Lowden, Michelle Farbaniec, Paul Haidet

Open access · hybridAbstract read
In one paragraph

Article in Journal of evaluation in clinical practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Review
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  5. 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

3 authors at 1 institution in 1 country.

Ariana Pichardo-LowdenDepartment of Medicine, Division of Endocrinology, Penn State University, Hershey, PA, USA.ORCID http://orcid.org/0000-0003-4504-4376
Michelle FarbaniecCollege of Medicine, Penn State University, 500 University Drive, Hershey, PA, 17033, USA.
Paul HaidetCollege of Medicine, Penn State University, 500 University Drive, Hershey, PA, 17033, USA.
Pennsylvania State University · US

Funding

Applying a System-Based Intervention to Address Barriers in the Management of Dysglycemia and Diabetes in the Hospital Using Electronic Health RecordsK23DK107914 · NIDDK · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI PICHARDO-LOWDEN, ARIANA RAQUEL · 2015 to 2019
$815k
NIDDK NIH HHS K23 DK107914NIDDK NIH HHS K23DK107914-01
6 · The paper itself

Abstract

aimsDespite advocacy by diabetes societies and evidence about how to prevent the deleterious consequences of dysglycemia among hospitalized patients, deficits in clinical practice continue to present barriers to care. The purpose of this study was to examine inpatient rounding practices using a qualitative research lens to assess challenges on the care of hospitalized patients with diabetes and to develop ideas for positive changes in hospital management of diabetes and hyperglycemia.

methodsWe conducted an interpretive analysis of qualitative observations during medical and surgical inpatient rounds at an academic institution. We coded, analysed, and reported data as thematic findings.

resultsEmerging themes include omissions in discussions during rounds; unpreparedness to address diabetes or dysglycemia during rounds; identifying practice improvement opportunities to address diabetes issues: and recognizing accountability within the routine of practice.

conclusionsThis work guides clinicians and informs systems of practice about improvement strategies that can emerge from within hospital teams. These recommendations emphasize the interconnectedness of practice elements including thoughtful review of glucose status during rounds among patients with and without diabetes; fostering doctors and nurses to work in unison; promoting awareness and integration within and across disciplines; and advocating for better use of existing resources.

Indexed as

Diabetes MellitusHealth Services AccessibilityInpatientsHumansObservationQualitative ResearchQuality ImprovementTeaching Roundshospital roundsinpatient diabetesqualitative observationsqualitative researchsystems of practice

Identifiers

PMID30378222
PMCPMC6563155
OpenAlexW2899251251

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.