Evidence map›Paper›PMID 30526010›Full record

ArticleJournal of diabetes science and technology2019

Closing the Loop: Optimizing Diabetes Care in the Hospital by Addressing Dispersed Information in Electronic Health Records and Using Clinical Decision Support.

Ariana R Pichardo-Lowden, Paul M Haidet

Abstract read
In one paragraph

Article in Journal of diabetes science and technology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

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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

2 authors.

Ariana R Pichardo-Lowden1 Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, Penn State University, Milton S. Hershey Medical Center, Hershey, PA, USA.ORCID 0000-0003-4504-4376
Paul M Haidet2 Penn State University College of Medicine, Hershey, PA, USA.

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 DK107914
6 · The paper itself

Abstract

Multiple factors hinder the management of diabetes in hospitals. Amid the demands of practice, health care providers must collect, collate, and analyze multiple data points to optimally interpret glucose control and manage insulin dosing. Such data points are commonly dispersed in different sections of electronic health records (EHR), and the system for data display and physician interaction with the EHR are often poorly conducive to seamless clinical decision making. In this perspective article, we examine challenges in the process of EHR data retrieval, interpretation and decision making, using glucose management as an exemplar. We propose a conceptual, systems-based design for closing the loop between data gathering, analysis and decision making in the management of inpatient diabetes. This concept capitalizes on attributes of the EHR that can enable automated recognition of cases and provision of clinical recommendations.

Indexed as

Decision Support Systems, ClinicalElectronic Health RecordsClinical Decision-MakingDiabetes MellitusHospitalsHumansclinical decision makingclinical decision supportdispersed dataelectronic health recordshealth care valueinpatient diabetes

Identifiers

PMID30526010
PMCPMC6610603

What OpenQuestion holds

Textmetadata
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.