Effectiveness of a computerized insulin order template in general medical inpatients with type 2 diabetes: a cluster randomized trial.
Diabetes Care
; 33(10): 2181-3, 2010 Oct.
Article
en En
| MEDLINE
| ID: mdl-20664017
ABSTRACT
OBJECTIVE:
To determine whether an electronic order template for basal-bolus insulin ordering improves mean blood glucose in hospitalized general medical patients with hyperglycemia and type 2 diabetes. RESEARCH DESIGN ANDMETHODS:
We randomly assigned internal medicine resident teams on acute general medical floors to the use of an electronic insulin order template or usual insulin ordering. We measured diabetes care parameters for 1 month on all patients with type 2 diabetes and blood glucose <60 mg/dl or >180 mg/dl treated by these physicians.RESULTS:
Intervention group patients (n = 65) had mean glucose of 195 ± 66 mg/dl. Control group patients (n = 63) had mean glucose of 224 ± 57 mg/dl (P = 0.004). In the intervention group, there was no increase in hypoglycemia.CONCLUSIONS:
Access to a computer insulin order template was associated with improved mean glucose levels without increasing hypoglycemia in patients with type 2 diabetes.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Quimioterapia Asistida por Computador
/
Diabetes Mellitus Tipo 2
/
Hipoglucemiantes
/
Insulina
Tipo de estudio:
Clinical_trials
Límite:
Aged
/
Aged80
/
Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Diabetes Care
Año:
2010
Tipo del documento:
Article
País de afiliación:
Estados Unidos