Improvement in Inpatient Glycemic Care: Pathways to Quality

被引：0
作者：
Joseph A. Aloi
Christopher Mulla
Jagdeesh Ullal
David C. Lieb
机构：
[1] Eastern Virginia Medical School,Division of Endocrinology, Diabetes & Metabolism, Joslin Diabetes Center
[2] Division of Endocrinology and Metabolism,undefined
[3] Harvard Medical School,undefined
来源：
Current Diabetes Reports | 2015年 / 15卷
关键词：
Inpatient; Glycemic control; Hyperglycemia; Hypoglycemia; Insulin dosing algorithms; Glucometrics;
D O I：
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学科分类号：
摘要：
The management of inpatient hyperglycemia is a focus of quality improvement projects across many hospital systems while remaining a point of controversy among clinicians. The association of inpatient hyperglycemia with suboptimal hospital outcomes is accepted by clinical care teams; however, the clear benefits of targeting hyperglycemia as a mechanism to improve hospital outcomes remain contentious. Glycemic management is also frequently confused with efforts aimed at intensive glucose control, further adding to the confusion. Nonetheless, several regulatory agencies assign quality rankings based on attaining specified glycemic targets for selected groups of patients (Surgical Care Improvement Project (SCIP) measures). The current paper reviews the data supporting the benefits associated with inpatient glycemic control projects, the components of a successful glycemic control intervention, and utilization of the electronic medical record in implementing an inpatient glycemic control project.
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