Implementation of an Electronic Dashboard with A Remote Management System to Improve Glycemic Management Among Hospitalized Adults
| Autor: | Shih-Yi Lin, Chien-Chung Huang, Ching-Heng Lin, Huang Shih-Che, Wayne Huey-Herng Sheu, I.-Te Lee, Y.-J. Sheen, Ming-De Huang |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Blood Glucose medicine.medical_specialty Endocrinology Diabetes and Metabolism Dashboard (business) Certified diabetes educator 030209 endocrinology & metabolism Hypoglycemia 03 medical and health sciences 0302 clinical medicine Endocrinology Diabetes mellitus medicine Humans 030212 general & internal medicine Blood Glucose Measurement Glycemic business.industry Blood Glucose Self-Monitoring Medical record General Medicine medicine.disease Hyperglycemia Emergency medicine San Francisco Observational study business |
| Zdroj: | Endocrine Practice. 26:179-191 |
| ISSN: | 1530-891X |
| DOI: | 10.4158/ep-2019-0264 |
| Popis: | Objective: Better glycemic control for hospitalized diabetic patients significantly reduces health expenditures and improves disease outcomes. We developed a dynamic dashboard with a remote management system and evaluated its impact on inpatient glycemic control. Methods: This was an observational institution-wide study; study participants were enrolled from a 1,500-bed public medical center from 2016 to 2018. We evaluated the impact of a dynamic dashboard system, which analyzed and monitored all glucose data with virtual glycemic management recommendation by a team of endocrinologists, over 3 × 1-year periods: 2016 (pre-implementation), 2017 (development), and 2018 (implementation). Results: A total of 51,641 discharges with 878,159 blood glucose measurements were obtained during the 3-year period. After implementation of the dashboard system, the proportion of patients with poor glycemic control (hyperglycemia or hypoglycemia) was reduced by 31% (from 10.2 to 7.0 per day per 100 patients with glucose monitoring; P Conclusion: We successfully installed a dynamic, electronic medical records-based dashboard monitoring system to improve inpatient glycemic control. The system, supported by a team of endocrinologists via remote recommendations, could efficiently fill an important need for improved glycemic management among hospitalized adults. Abbreviations: CDE = certified diabetes educator; DM = diabetes mellitus; EMR = electronic medical record; POC = point-of-care; TCVGH = Taichung Veterans General Hospital; UCSF = University of California, San Francisco; U.S. = United States; vGMS = virtual glucose management service |
| Databáze: | OpenAIRE |
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