Impact of a computer-generated alert system on the quality of tight glycemic control

Impact of a computer-generated alert system on the quality of tight glycemic control

Purpose To assess the impact of a computer-generated blood glucose (BG) alert, generated by a Patient Data Management System (PDMS) and superimposed on a paper-based guideline, on tight glycemic control (TGC) in the intensive care unit (ICU). Methods TGC in the Leuven University Hospitals is perform...

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Veröffentlicht in:Intensive care medicine 2011-07, Vol.37 (7), p.1151-1157
Hauptverfasser: Meyfroidt, Geert, Wouters, Pieter, De Becker, Wilfried, Cottem, Dominiek, Van den Berghe, Greet
Format: Artikel
Sprache:eng
Schlagworte:
Adults
Aged
Algorithms
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthesiology
Biological and medical sciences
Blood
Blood Glucose - analysis
Blood sugar
Body mass index
Chi-Square Distribution
Computerized, statistical medical data processing and models in biomedicine
Critical Care Medicine
Critical Illness
Decision Making
Decision Support Techniques
Diabetes therapy
Emergency Medicine
Female
Glucose
Glycemic Index
Hospital Mortality
Hospital patients
Humans
Hypoglycemia
Hypoglycemic Agents - administration & dosage
Infusion Pumps
Insulin
Intensive
Intensive care
Intensive care medicine
Intensive Care Units
Length of stay
Length of Stay - statistics & numerical data
Male
Medical computing and teaching
Medical examination
Medical records
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Mortality
Nurses
Original
Pain Medicine
Patients
Pediatrics
Pneumology/Respiratory System
Reminder Systems
Statistics, Nonparametric
Time series
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Zusammenfassung:Purpose To assess the impact of a computer-generated blood glucose (BG) alert, generated by a Patient Data Management System (PDMS) and superimposed on a paper-based guideline, on tight glycemic control (TGC) in the intensive care unit (ICU). Methods TGC in the Leuven University Hospitals is performed by nurses using a paper-based guideline that allows anticipative, intuitive decision-making. An electronic alert was implemented on 1 August 2007 in which a pop-up appears in the PDMS at the following BG thresholds: >180, >110, 60–80, 40–60 and
ISSN:0342-4642
1432-1238
DOI:10.1007/s00134-011-2159-7