Impact of improvement efforts on glycemic control and hypoglycemia at a university medical center
BACKGROUND: Great emphasis is placed on optimizing treatment of hospitalized patients with diabetes and hyperglycemia.
OBJECTIVE: This study was conducted to determine if the application of hospital-wide insulin order sets improved inpatient safety by reducing the number of actual hypoglycemic and hyperglycemic events and increasing at-target blood glucose.
DESIGN: A retrospective chart review was conducted of hypoglycemic and hyperglycemic events and at-target blood glucose occurring before and after institution of the insulin order sets and blood glucose protocols.
SETTING: The Medical University of South Carolina (MUSC) Medical Center is a 709-bed hospital and tertiary referral center for partnering hospitals in the southeastern United States.
PATIENTS: All patients were evaluated who had a documented history of diabetes or who had at least 1 finger-stick blood glucose above 180 mg/dL who were admitted for care to the MUSC adult main hospital (minimum of 18 years-of-age; maximum 100 years-of-age) during June 2004, June 2005, June 2006, and June 2007.
INTERVENTION: The intervention involved institution of hospital-wide hypoglycemia, hyperglycemia, subcutaneous insulin, and intravenous insulin treatment protocols.
MEASUREMENTS: Retrospective data on hypoglycemia, hyperglycemia, and at-target blood glucose incidence and frequency were collected via a computerized repository for all inpatients.
RESULTS: The percent time in range improved by 10% with no increase in the amount of severe hypoglycemic episodes for the blood glucose results.
CONCLUSIONS: Implementing standardized insulin order sets including hypoglycemia and hyperglycemia treatment protocols at MUSC produced expected benefits for patient safety for this patient population.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2009 |
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| Erschienen: |
2009 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:4 |
|---|---|
| Enthalten in: |
Journal of hospital medicine - 4(2009), 6 vom: 15. Juli, Seite 331-9 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Hermayer, Kathie L [VerfasserIn] |
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| Links: |
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| Themen: |
Blood Glucose |
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| Anmerkungen: |
Date Completed 30.04.2010 Date Revised 21.03.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.1002/jhm.449 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM190596090 |
|---|
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| 100 | 1 | |a Hermayer, Kathie L |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Impact of improvement efforts on glycemic control and hypoglycemia at a university medical center |
| 264 | 1 | |c 2009 | |
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| 500 | |a Date Completed 30.04.2010 | ||
| 500 | |a Date Revised 21.03.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Great emphasis is placed on optimizing treatment of hospitalized patients with diabetes and hyperglycemia | ||
| 520 | |a OBJECTIVE: This study was conducted to determine if the application of hospital-wide insulin order sets improved inpatient safety by reducing the number of actual hypoglycemic and hyperglycemic events and increasing at-target blood glucose | ||
| 520 | |a DESIGN: A retrospective chart review was conducted of hypoglycemic and hyperglycemic events and at-target blood glucose occurring before and after institution of the insulin order sets and blood glucose protocols | ||
| 520 | |a SETTING: The Medical University of South Carolina (MUSC) Medical Center is a 709-bed hospital and tertiary referral center for partnering hospitals in the southeastern United States | ||
| 520 | |a PATIENTS: All patients were evaluated who had a documented history of diabetes or who had at least 1 finger-stick blood glucose above 180 mg/dL who were admitted for care to the MUSC adult main hospital (minimum of 18 years-of-age; maximum 100 years-of-age) during June 2004, June 2005, June 2006, and June 2007 | ||
| 520 | |a INTERVENTION: The intervention involved institution of hospital-wide hypoglycemia, hyperglycemia, subcutaneous insulin, and intravenous insulin treatment protocols | ||
| 520 | |a MEASUREMENTS: Retrospective data on hypoglycemia, hyperglycemia, and at-target blood glucose incidence and frequency were collected via a computerized repository for all inpatients | ||
| 520 | |a RESULTS: The percent time in range improved by 10% with no increase in the amount of severe hypoglycemic episodes for the blood glucose results | ||
| 520 | |a CONCLUSIONS: Implementing standardized insulin order sets including hypoglycemia and hyperglycemia treatment protocols at MUSC produced expected benefits for patient safety for this patient population | ||
| 650 | 4 | |a Comparative Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 7 | |a Blood Glucose |2 NLM | |
| 650 | 7 | |a Hypoglycemic Agents |2 NLM | |
| 650 | 7 | |a Insulin |2 NLM | |
| 700 | 1 | |a Cawley, Patrick |e verfasserin |4 aut | |
| 700 | 1 | |a Arnold, Pamela |e verfasserin |4 aut | |
| 700 | 1 | |a Sutton, Angela |e verfasserin |4 aut | |
| 700 | 1 | |a Crudup, John |e verfasserin |4 aut | |
| 700 | 1 | |a Kozlowski, Lisa |e verfasserin |4 aut | |
| 700 | 1 | |a Hushion, Timothy V |e verfasserin |4 aut | |
| 700 | 1 | |a Sheakley, Maureen L |e verfasserin |4 aut | |
| 700 | 1 | |a Epps, Juanita A |e verfasserin |4 aut | |
| 700 | 1 | |a Weil, Rebecca P |e verfasserin |4 aut | |
| 700 | 1 | |a Carter, Rickey E |e verfasserin |4 aut | |
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