Multifaceted approach to reducing occurrence of severe hypoglycemia in a large healthcare system

American Journal of Health-System Pharmacy

Volumn 72, Issue 19, 2015, Pages 1631-1641

  Milligan, Paul E ^a,b   Bocox, Mary C ^a   Pratt, Elizabeth ^c   Hoehner, Christine M ^a   Krettek, John E ^a   Dunagan, Wm Claiborne ^a  

^a BJC HEALTHCARE   (United States)

^b WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c BARNES JEWISH HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

SULFONYLUREA; ANTIDIABETIC AGENT; CORTICOSTEROID; GLUCOSE BLOOD LEVEL;

ARTICLE; DATA ANALYSIS; EVIDENCE BASED PRACTICE; HEALTH CARE SYSTEM; HIGH RISK PATIENT; HOSPITAL ADMISSION; HUMAN; HYPOGLYCEMIA; INFORMATION DISSEMINATION; PHARMACIST; PRIORITY JOURNAL; RISK ASSESSMENT; TOTAL QUALITY MANAGEMENT; CHEMICALLY INDUCED; GLUCOSE BLOOD LEVEL; HOSPITAL PATIENT; HOSPITAL PHARMACY; IN SERVICE TRAINING; NUTRITIONAL ASSESSMENT; ORGANIZATION AND MANAGEMENT; RISK FACTOR; SEVERITY OF ILLNESS INDEX;

ADRENAL CORTEX HORMONES; BLOOD GLUCOSE; HUMANS; HYPOGLYCEMIA; HYPOGLYCEMIC AGENTS; INPATIENTS; INSERVICE TRAINING; NUTRITION ASSESSMENT; PHARMACY SERVICE, HOSPITAL; QUALITY IMPROVEMENT; RISK FACTORS; SEVERITY OF ILLNESS INDEX;

EID: 84962786572     PISSN: 10792082     EISSN: 15352900     Source Type: Journal    
DOI: 10.2146/ajhp150077     Document Type: Article

References (18)

1. Cryer PE. Severe hypoglycemia predicts mortality in diabetes. Diabetes Care. 2012; 35:1814-6.
2. Seaquist ER, Anderson J, Childs B et al. Hypoglycemia and diabetes: a report of a workgroup of the American Diabetes Association and the Endocrine Society. Diabetes Care. 2013; 36:1384-95.
3. Turchin A, Matheny ME, Shubina M et al. Hypoglycemia and clinical outcomes in patients with diabetes hospitalized in the general ward. Diabetes Care. 2009; 32:1153-7.
4. Purnell TS, Joy S, Little E et al. Patient preferences for noninsulin diabetes medications: a systematic review. Diabetes Care. 2014; 37:2055-62.
5. Braithwaite SS, Buie MM, Thompson CL et al. Hospital hypoglycemia: not only treatment but also prevention. Endocr Pract. 2004; 10:89-99.
6. Kilbridge PM, Noirot LA, Reichley RM et al. Computerized surveillance for adverse drug events in a pediatric hospital. J Am Med Inform Assoc. 2009; 16:607-12.
7. Reichley RM, Seaton TL, Resetar E et al. Implementing a commercial rule base as a medication order safety net. J Am Med Inform Assoc. 2005; 12:383-9.
8. Moghissi ES, Korytkowski MT, DiNardo M et al. American Association of Clinical Endocrinologists and American Diabetes Association consensus statement on inpatient glycemic control. Diabetes Care. 2009; 32:1119-31.
9. Laraia AC, Moody PE, Hall RW. The kaizen blitz: accelerating breakthroughs in productivity and performance. New York: John Wiley; 1999:93-142.
10. Umpierrez GE, Hellman R, Korytkowski MT et al. Management of hyperglycemia in hospitalized patients in non-critical care setting: an Endocrine Society clinical practice guideline. J Clin Endocr Metab. 2012; 97:16-38.
11. Wesorick D, O'Malley C, Rushakoff R et al. Management of diabetes and hyperglycemia in the hospital: a practical guide to subcutaneous insulin use in the non-critically ill, adult patient. J Hosp Med. 2008; 3(5):17.
12. Elliott MB, Schafers SJ, McGill JB, Tobin GS. Prediction and prevention of treatment-related inpatient hypoglycemia. J Diabetes Sci Technol. 2012; 6:302.
13. Kilpatrick R, Elliott M, Pratt E et al. Prevention of inpatient hypoglycemia with a real-time informatics alert. J Hosp Med. 2014; 9:621-6.
14. Pratt E, Elliott M, Blackburn MC et al. Implementation of a real-time informatics alert with clinical decision support for prevention of severe hypoglycemia. Paper presented at 73rd Scientific Sesssions of American Diabetes Association. Chicago, IL; 2013 Jun 21-25.
15. Cobaugh DJ, Maynard G, Cooper L et al. Enhancing insulin-use safety in hospitals: practical recommendations from an ASHP Foundation expert consensus panel. Am J Health-Syst Pharm. 2013; 70:e18-27.
16. Munoz M, Pronovost P, Dintzis J et al. Implementing and evaluating a multicomponent inpatient diabetes management program: putting research into practice. Jt Comm J Qual Patient Saf. 2012; 38:195-206.
17. Pasala S, Dendy JA, Chockalingam V, Meadows RY. An inpatient hypoglycemia committee: development, successful implementation, and impact on patient safety. Ochsner J. 2013; 13:407-12.
18. Ramos P, Childers D, Maynard G et al. Maintaining glycemic control when transitioning from infusion insulin: a protocol-driven, multidisciplinary approach. J Hosp Med. 2010; 5:446-51.