TY - JOUR
T1 - Understanding and improving management of inpatient diabetes mellitus
T2 - The mayo clinic arizona experience
AU - Cook, Curtiss B.
AU - Zimmerman, Richard S.
AU - Gauthier, Susanne M.
AU - Castro, Janna C.
AU - Jameson, Kimberly A.
AU - Littman, Stephanie D.
AU - Magallanez, Janice M.
PY - 2008/11
Y1 - 2008/11
N2 - We present an overview of strategies our institution has taken to understand the state of its inpatient diabetes management. We first describe how we utilized information systems to assess inpatient glycemic control and insulin management in noncritically ill patients and discuss our findings regarding mean bedside glucose levels, the prevalence and frequency hypoglycemic and hyperglycemic events, the patterns of insulin therapy, and evidence of inpatient clinical inertia. We also review the development of a survey to determine practitioner attitudes and beliefs about inpatient diabetes. Results of this survey study found that, in general, practitioners believed in the importance of controlling hyperglycemia but were not comfortable with many aspects of inpatient diabetes care, particularly with the use of insulin. Finally, we suggest steps to follow in developing a qualityimprovement program for hospitals.
AB - We present an overview of strategies our institution has taken to understand the state of its inpatient diabetes management. We first describe how we utilized information systems to assess inpatient glycemic control and insulin management in noncritically ill patients and discuss our findings regarding mean bedside glucose levels, the prevalence and frequency hypoglycemic and hyperglycemic events, the patterns of insulin therapy, and evidence of inpatient clinical inertia. We also review the development of a survey to determine practitioner attitudes and beliefs about inpatient diabetes. Results of this survey study found that, in general, practitioners believed in the importance of controlling hyperglycemia but were not comfortable with many aspects of inpatient diabetes care, particularly with the use of insulin. Finally, we suggest steps to follow in developing a qualityimprovement program for hospitals.
KW - Diabetes mellitus hospitalizations
KW - Hyperglycemia
KW - Hypoglycemia
KW - Insulin
UR - http://www.scopus.com/inward/record.url?scp=73849087736&partnerID=8YFLogxK
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U2 - 10.1177/193229680800200602
DO - 10.1177/193229680800200602
M3 - Article
AN - SCOPUS:73849087736
SN - 1932-2968
VL - 2
SP - 925
EP - 931
JO - Journal of Diabetes Science and Technology
JF - Journal of Diabetes Science and Technology
IS - 6
ER -