启动胰岛素安全运动,降低 65 岁及以上住院成年人的血糖伤害事件发生率。

IF 4.3 2区 医学 Q1 GERIATRICS & GERONTOLOGY
Michelle Cohen DNP, Kristen de Grandpre MSN, William M. Herlihy PharmD, Lise Cooper DMH
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引用次数: 0

摘要

背景:在 2021 年至 2023 年期间,我们的医疗系统将收治 200,837 名 18 岁及以上的糖尿病患者,其中 61%(n=123,393)为 65 岁及以上的糖尿病患者,并下达了胰岛素用药医嘱。在美国,65 岁及以上住院患者的糖尿病发病率持续上升,据报告,2020 年将有 2400 万 65 岁及以上的成年人患有糖尿病。胰岛素是一种高风险药物,有可能发生药物不良事件,对患者造成重大伤害,甚至可能导致死亡。随着 2023 年美国联邦医疗保险服务中心开始对严重血糖危害事件进行自愿性电子临床质量测量报告,研究小组看到了在整个系统内评估和规范胰岛素相关实践的机会:我们开展了胰岛素安全运动(ISC),对整个医疗系统中与胰岛素相关的流程进行审查、评估和标准化。主要目标是在全系统范围内减少严重的血糖伤害事件。我们对胰岛素相关实践进行了审查,以确保最佳实践的一致性和标准化。结果根据医疗保险和医疗补助服务中心的电子临床质量测量报告指南进行测量:结果:对比实施前后的结果,所有五家医疗中心的严重高血糖和低血糖危害事件都有了统计学意义上的显著减少:通过共同努力,我们能够通过标准化来识别、解决并减少与胰岛素相关的流程差异,从而降低严重血糖伤害事件的发生率,并改善 65 岁及以上住院患者的血糖管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Initiating an Insulin Safety Campaign to reduce the incidence of glycemic harm events for hospitalized adults 65 and older

See related editorial by Ouslander in this issue.

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来源期刊
CiteScore
10.00
自引率
6.30%
发文量
504
审稿时长
3-6 weeks
期刊介绍: Journal of the American Geriatrics Society (JAGS) is the go-to journal for clinical aging research. We provide a diverse, interprofessional community of healthcare professionals with the latest insights on geriatrics education, clinical practice, and public policy—all supporting the high-quality, person-centered care essential to our well-being as we age. Since the publication of our first edition in 1953, JAGS has remained one of the oldest and most impactful journals dedicated exclusively to gerontology and geriatrics.
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