A Bedside Computerized Decision-Support Tool for Intravenous Insulin Infusion Management in Critically Ill Patients
Intravenous (IV) insulin infusions using a validated protocol are the recommended method for blood glucose control in critically ill patients. Computerized decision-support tools improve quality over manual paper-based protocols. However, nonproprietary computerized tools targeting the recommended b...
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| Veröffentlicht in: | Joint Commission journal on quality and patient safety 2018-05, Vol.44 (5), p.299-303 |
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| container_issue | 5 |
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| container_title | Joint Commission journal on quality and patient safety |
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| creator | Telford, Evan D. Franck, Andrew J. Hendrickson, Andrew L. Dietrich, Nicole Maltese |
| description | Intravenous (IV) insulin infusions using a validated protocol are the recommended method for blood glucose control in critically ill patients. Computerized decision-support tools improve quality over manual paper-based protocols. However, nonproprietary computerized tools targeting the recommended blood glucose range of 140–180 mg/dL are not readily available. A bedside computerized decision-support tool was developed at a US Department of Veterans Affairs health system to assist the nursing staff with the management of patients requiring IV insulin infusion. Initial evaluation showed that the tool was useful in the safe and effective management of an IV insulin infusion protocol for blood glucose control targeting the updated blood glucose range. |
| doi_str_mv | 10.1016/j.jcjq.2017.10.005 |
| format | Article |
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Computerized decision-support tools improve quality over manual paper-based protocols. However, nonproprietary computerized tools targeting the recommended blood glucose range of 140–180 mg/dL are not readily available. A bedside computerized decision-support tool was developed at a US Department of Veterans Affairs health system to assist the nursing staff with the management of patients requiring IV insulin infusion. Initial evaluation showed that the tool was useful in the safe and effective management of an IV insulin infusion protocol for blood glucose control targeting the updated blood glucose range.</description><identifier>ISSN: 1553-7250</identifier><identifier>EISSN: 1938-131X</identifier><identifier>DOI: 10.1016/j.jcjq.2017.10.005</identifier><identifier>PMID: 29759263</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject><![CDATA[Algorithms ; Blood Glucose ; Critical Illness - therapy ; Decision Support Systems, Clinical - organization & administration ; Electronic Health Records - organization & administration ; Humans ; Hyperglycemia - drug therapy ; Hypoglycemic Agents - administration & dosage ; Infusions, Intravenous ; Insulin - administration & dosage ; Medical Order Entry Systems - organization & administration ; Point-of-Care Systems - organization & administration ; Quality Improvement - organization & administration ; United States ; United States Department of Veterans Affairs]]></subject><ispartof>Joint Commission journal on quality and patient safety, 2018-05, Vol.44 (5), p.299-303</ispartof><rights>2018 The Joint Commission</rights><rights>Copyright © 2018 The Joint Commission. 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Computerized decision-support tools improve quality over manual paper-based protocols. However, nonproprietary computerized tools targeting the recommended blood glucose range of 140–180 mg/dL are not readily available. A bedside computerized decision-support tool was developed at a US Department of Veterans Affairs health system to assist the nursing staff with the management of patients requiring IV insulin infusion. Initial evaluation showed that the tool was useful in the safe and effective management of an IV insulin infusion protocol for blood glucose control targeting the updated blood glucose range.</description><subject>Algorithms</subject><subject>Blood Glucose</subject><subject>Critical Illness - therapy</subject><subject>Decision Support Systems, Clinical - organization & administration</subject><subject>Electronic Health Records - organization & administration</subject><subject>Humans</subject><subject>Hyperglycemia - drug therapy</subject><subject>Hypoglycemic Agents - administration & dosage</subject><subject>Infusions, Intravenous</subject><subject>Insulin - administration & dosage</subject><subject>Medical Order Entry Systems - organization & administration</subject><subject>Point-of-Care Systems - organization & administration</subject><subject>Quality Improvement - organization & administration</subject><subject>United States</subject><subject>United States Department of Veterans Affairs</subject><issn>1553-7250</issn><issn>1938-131X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM2L1TAUxYMozof-Ay4kSzd95qNpGnAzPnV8MKLgCO5CXnIrKWnTSdKB8a835Y0uXd3DybmHmx9CryjZUUK7t-NutOPdjhEqq7EjRDxB51TxvqGc_nxatRC8kUyQM3SR80gI7zrVP0dnTEmhWMfPUb7C78Fl7wDv47SsBZL_DQ5_AOuzj3PzfV2WmAq-jTHgISZ8mEsy9zDHNVed1-DnOod1S-MvZja_YIK54Grvky_emhAe8CEE_M0UX1_yC_RsMCHDy8d5iX58-ni7_9zcfL0-7K9uGsskLU1vO-dkyxRxogewVg2Udm2nhCTHnhFRle24aFkrQRl3pMy4gVvnOKXi2PJL9ObUu6R4t0IuevLZQghmhnq9ZoQr1ksityg7RW2KOScY9JL8ZNKDpkRvsPWoN9h6g715FXZdev3Yvx4ncP9W_tKtgXenANRf3ntIOttKwILzCWzRLvr_9f8BlnaRjA</recordid><startdate>201805</startdate><enddate>201805</enddate><creator>Telford, Evan D.</creator><creator>Franck, Andrew J.</creator><creator>Hendrickson, Andrew L.</creator><creator>Dietrich, Nicole Maltese</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201805</creationdate><title>A Bedside Computerized Decision-Support Tool for Intravenous Insulin Infusion Management in Critically Ill Patients</title><author>Telford, Evan D. ; Franck, Andrew J. ; Hendrickson, Andrew L. ; Dietrich, Nicole Maltese</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c271t-8c6dd74290d58eecc9f116469570b8205695c6354247e9adb12adf3cdd3115b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Algorithms</topic><topic>Blood Glucose</topic><topic>Critical Illness - therapy</topic><topic>Decision Support Systems, Clinical - organization & administration</topic><topic>Electronic Health Records - organization & administration</topic><topic>Humans</topic><topic>Hyperglycemia - drug therapy</topic><topic>Hypoglycemic Agents - administration & dosage</topic><topic>Infusions, Intravenous</topic><topic>Insulin - administration & dosage</topic><topic>Medical Order Entry Systems - organization & administration</topic><topic>Point-of-Care Systems - organization & administration</topic><topic>Quality Improvement - organization & administration</topic><topic>United States</topic><topic>United States Department of Veterans Affairs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Telford, Evan D.</creatorcontrib><creatorcontrib>Franck, Andrew J.</creatorcontrib><creatorcontrib>Hendrickson, Andrew L.</creatorcontrib><creatorcontrib>Dietrich, Nicole Maltese</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Joint Commission journal on quality and patient safety</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Telford, Evan D.</au><au>Franck, Andrew J.</au><au>Hendrickson, Andrew L.</au><au>Dietrich, Nicole Maltese</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Bedside Computerized Decision-Support Tool for Intravenous Insulin Infusion Management in Critically Ill Patients</atitle><jtitle>Joint Commission journal on quality and patient safety</jtitle><addtitle>Jt Comm J Qual Patient Saf</addtitle><date>2018-05</date><risdate>2018</risdate><volume>44</volume><issue>5</issue><spage>299</spage><epage>303</epage><pages>299-303</pages><issn>1553-7250</issn><eissn>1938-131X</eissn><abstract>Intravenous (IV) insulin infusions using a validated protocol are the recommended method for blood glucose control in critically ill patients. 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| ispartof | Joint Commission journal on quality and patient safety, 2018-05, Vol.44 (5), p.299-303 |
| issn | 1553-7250 1938-131X |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Algorithms Blood Glucose Critical Illness - therapy Decision Support Systems, Clinical - organization & administration Electronic Health Records - organization & administration Humans Hyperglycemia - drug therapy Hypoglycemic Agents - administration & dosage Infusions, Intravenous Insulin - administration & dosage Medical Order Entry Systems - organization & administration Point-of-Care Systems - organization & administration Quality Improvement - organization & administration United States United States Department of Veterans Affairs |
| title | A Bedside Computerized Decision-Support Tool for Intravenous Insulin Infusion Management in Critically Ill Patients |
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