Inpatient Hypoglycemic Rate Reduction Through the Implementation of Prescriber Targeted Decision Support Tools.

IF 5.2 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

Current Diabetes Reports Pub Date : 2025-01-04 DOI:10.1007/s11892-024-01571-1

Jessica Odom, Rebecca Goldstein

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引用次数: 0

Abstract

Purpose of review: Hypoglycemia has been shown to increase mortality and length of hospital stay and is now reportable to the Centers for Medicare and Medicaid Services as a quality measure. The purpose of this article is to review clinical decision support (CDS) tools designed to reduce inpatient hypoglycemic events.

Recent findings: CDS tools such as order set development, medication alerts, and data visibility have all been shown to be valuable tools in improving glycemic performance. This is especially true for hyperglycemic events with mixed results in hypoglycemia prevention. CDS solutions may be targeted directly to healthcare professionals or to specialty diabetes management teams to reduce hypoglycemia. Not all organizations have the financial resources to develop a diabetes management team so non-interruptive alerts may serve as an important tool to alert health care professionals of individuals with additional risk factors for the development of hypoglycemia. CDS can provide a mechanism to reduce the risk of hypoglycemia in hospitalized individuals. Although new research is promising, more studies are needed to determine future directions including the impact and feasibility of continuous glucose monitoring and predictive models to improve overall glycemic performance.

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通过实施处方者目标决策支持工具降低住院患者低血糖率。

综述目的：低血糖已被证明会增加死亡率和住院时间，现在作为一项质量指标向医疗保险和医疗补助服务中心报告。本文的目的是回顾旨在减少住院低血糖事件的临床决策支持（CDS）工具。最近的发现：CDS工具，如订单集开发、药物警报和数据可见性，都被证明是改善血糖表现的有价值的工具。这尤其适用于高血糖事件，在预防低血糖方面效果不一。CDS解决方案可以直接针对医疗保健专业人员或专业糖尿病管理团队，以降低低血糖。并不是所有的组织都有足够的财力来组建糖尿病管理团队，因此，不间断警报可以作为一种重要的工具，提醒医疗保健专业人员注意有其他低血糖风险因素的个人。CDS可以提供一种降低住院患者低血糖风险的机制。虽然新的研究很有希望，但需要更多的研究来确定未来的方向，包括连续血糖监测和预测模型对改善整体血糖表现的影响和可行性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Diabetes Reports 医学 -

CiteScore

9.80

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The goal of this journal is to publish cutting-edge reviews on subjects pertinent to all aspects of diabetes epidemiology, pathophysiology, and management. We aim to provide incisive, insightful, and balanced contributions from leading experts in each relevant domain that will be of immediate interest to a wide readership of clinicians, basic scientists, and translational investigators. We accomplish this aim by appointing major authorities to serve as Section Editors in key subject areas across the discipline. Section Editors select topics to be reviewed by leading experts who emphasize recent developments and highlight important papers published over the past year on their topics, in a crisp and readable format. We also provide commentaries from well-known figures in the field, and an Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.