| Autor: |
Pichardo-Lowden AR; 1 Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, Penn State University, Milton S. Hershey Medical Center, Hershey, PA, USA.; 2 Penn State University College of Medicine, Hershey, PA, USA., Haidet PM; 2 Penn State University College of Medicine, Hershey, PA, USA.; 3 Departments of Medicine, Humanities, and Public Health Sciences and the Woodward Center for Excellence in Health Sciences Education, Hershey, PA, USA. |
| Abstrakt: |
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. |
