Development and Implementation of a Subcutaneous Insulin Clinical Decision Support Tool for Hospitalized Patients.

ABSTRACT:

Background

Insulin is one of the highest risk medications used in hospitalized patients. Multiple complex factors must be considered in determining a safe and effective insulin regimen. We sought to develop a computerized clinical decision support (CDS) tool to assist hospital-based clinicians in insulin management.

Methods

Adapting existing clinical practice guidelines for inpatient glucose management, a design team selected, configured, and implemented a CDS tool to guide subcutaneous insulin dosing in non-critically ill hospitalized patients at two academic medical centers that use the EpicCare® electronic medical record (EMR). The Agency for Healthcare Research and Quality (AHRQ) best practices in CDS design and implementation were followed.

Results

A CDS tool was

SUBMITTER: Mathioudakis N 

PROVIDER: S-EPMC6501530 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature