Electronic Health Record-Based Decision-Making Support in Inpatient Diabetes Management.

IF 5.2 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

Current Diabetes Reports Pub Date : 2022-09-01 Epub Date: 2022-08-02 DOI:10.1007/s11892-022-01481-0

Johanna E Gerwer, Grace Bacani, Patricia S Juang, Kristen Kulasa

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引用次数: 1

Abstract

Purpose of review: This review discusses ways in which the electronic health record (EHR) can offer clinical decision support (CDS) tools for management of inpatient diabetes and hyperglycemia.

Recent findings: The use of electronic order sets can help providers order comprehensive basal bolus insulin regimens that are consistent with current guidelines. Order sets have been shown to reduce insulin errors and hypoglycemia rates. They can also help set glycemic targets, give hemoglobin A1C reminders, guide weight-based dosing, and match insulin regimen to nutritional profile. Glycemic management dashboards allow multiple variables affecting blood glucose to be shown in a single view, which allows for efficient evaluation of glucose trends and adjustment of insulin regimen. With the use glycemic management dashboards, active surveillance and remote management also become feasible. Hypoglycemia prevention and management are another part of inpatient diabetes management that is enhanced by EHR CDS tools. Furthermore, diagnosis and management of diabetic ketoacidosis and hyperglycemia hyperosmolar state are improved with the aid of EHR CDS tools. The use of EHR CDS tools helps improve the care of patients with diabetes and hyperglycemia in the inpatient hospital setting.

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基于电子健康记录的住院糖尿病患者管理决策支持

综述目的:本综述讨论了电子健康记录(EHR)如何为住院糖尿病和高血糖患者的管理提供临床决策支持(CDS)工具。最新发现:使用电子订购集可以帮助提供者订购符合当前指南的综合基础胰岛素方案。有序组已被证明可以减少胰岛素错误和低血糖率。它们还可以帮助设定血糖目标，提醒糖化血红蛋白，指导基于体重的剂量，并将胰岛素治疗方案与营养状况相匹配。血糖管理仪表板允许在一个视图中显示影响血糖的多个变量，从而可以有效地评估血糖趋势和调整胰岛素方案。随着血糖管理仪表板的使用，主动监测和远程管理也变得可行。低血糖预防和管理是住院糖尿病患者管理的另一部分，可通过EHR CDS工具得到加强。此外，在EHR CDS工具的帮助下，糖尿病酮症酸中毒和高血糖高渗状态的诊断和管理得到了改善。电子病历CDS工具的使用有助于改善住院医院环境中糖尿病和高血糖患者的护理。

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.