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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Kopanz, J; Lichtenegger, KM; Koenig, C; Libiseller, A; Mader, JK; Donsa, K; Truskaller, T; Bauer, N; Hahn, B; Sendlhofer, G; Beck, P; Höll, B; Sinner, F; Feichtner, F; Pieber, TR.
Electronic Diabetes Management System Replaces Paper Insulin Chart: Improved Quality in Diabetes Inpatient Care Processes Due to Digitalization.
J Diabetes Sci Technol. 2021; 15(2):222-230
Doi: 10.1177/1932296820957043
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- Leading authors Med Uni Graz
- Kopanz Julia
- Lichtenegger Katharina
- Co-authors Med Uni Graz
- Feichtner Franz
- Höll Bernhard
- Libiseller Angela
- Mader Julia
- Pieber Thomas
- Sendlhofer Gerald
- Sinner Frank Michael
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- Abstract:
- GlucoTab, an electronic diabetes management system (eDMS), supports healthcare professionals (HCPs) in inpatient blood glucose (BG) management at point-of-care and was implemented for the first time under routine conditions in a regional hospital to replace the paper insulin chart. To investigate quality of the eDMS for inpatients with type 2 diabetes mellitus a monocentric retrospective before-after evaluation was conducted. We compared documentation possibilities by assessing a blank paper chart vs the eDMS user interface. Further quality aspects were compared by assessing filled-in paper charts (n = 106) vs filled-in eDMS documentation (n = 241). HCPs (n = 59) were interviewed regarding eDMS satisfaction. The eDMS represented an improvement of documentation possibilities by offering a more structured and comprehensive user interface compared to the blank paper chart. The number of good diabetes days averaged to a median value of four days in both groups (paper chart: 4.38 [0-7] vs eDMS: 4.38 [0-7] days). Median daily BG was 170 (117-297) mg/dL vs 168 (86-286) mg/dL and median fasting BG was 152 (95-285) mg/dL vs 145 (69-333) mg/dL, and 0.1% vs 0.4% BG values <54 mg/dL were documented. Diabetes documentation quality improved when using eDMS, for example, documentation of ordered BG measurement frequency (1% vs 100%) and ordered BG targets (0% vs 100%). HCPs stated that by using eDMS errors could be prevented (74%), and digital support of work processes was completed (77%). Time saving was noted by 8 out of 11 HCPs and estimated at 10-15 minutes per patient day by two HCPs. The eDMS completely replaced the paper chart, showed comparable glycemic control, was positively accepted by HCPs, and is suitable for inpatient diabetes management.
- Find related publications in this database (Keywords)
- diabetes
- clinical decision support
- diabetes therapy
- digitalization
- hospital
- treatment quality