Retrospective cross-sectional study measuring the impact of a computer=based insulin correction protocol and nursing inservicing on diabetes outcomes
This study is a retrospective cross-sectional study at one institution, where the investigators compared diabetic patients admitted to Medicine Services from March-April 2006 (before CPOE was implemented) to patients admitted from October-November 2007 (one year after CPOE implementation). Capillary blood glucose values, Hemoglobin AIC, diabetes medication profile and demographic data were obtained to compare between groups. The investigators hypothesized that a computer-based protocol that emphasizes basal-bolus and correctional insulin orders and excludes sliding scale, in conjunction with nursing personnel inservicing, improves outcomes.
Study Type
OBSERVATIONAL
Enrollment
413
John H. Stroger Jr. Hospital
Chicago, Illinois, United States
Mean Inpatient Glucose
Baseline glucose
Time frame: From day of admission to hospital until day of discharge from hospital
Percentage of normoglycemic (70 to 150 mg/dl) patient-days
Percentage of inpatient days at glucose target
Time frame: From day of admission to hospital until day of discharge from hospital
Percentage of hyperglycemic patient-days
Percentage of inpatient days above glucose target
Time frame: From day of admission to hospital until day of discharge from hospital
Percentage of Patient-days with glucose less than 70 mg/dl
Percentage of inpatient days below glucose target
Time frame: From day of admission to hospital until day of discharge from hospital
Percentage of Patients with inpatient or recent (less than 6 months) hemoglobin AIC
Percentage of patients with recent A1c
Time frame: From day of admission to hospital until day of discharge from hospital
Length of stay
Number of days inpatient
Time frame: From day of admission to hospital until day of discharge from hospital
Distribution of oral hypoglycemic use
Rate of oral diabetes medication use
Time frame: From day of admission to hospital until day of discharge from hospital
Distribution of type of insulin therapy used
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Rate of insulin use
Time frame: From day of admission to hospital until day of discharge from hospital
Percent of patient-days with severe hypoglycemia
Percentage of patient days with glucose below 55 mg/dL
Time frame: From day of admission to hospital until day of discharge from hospital