AHRQ Study Examines Effectiveness of Measures To Control Blood Sugar
An AHRQ-supported study published in the journal Endocrine Practice found that a multidisciplinary intervention was effective in treating uncontrolled hyperglycemia and iatrogenic hypoglycemia among nearly 23,000 patients at an academic medical center. Findings showed consistent improvements in glycemic control over time, ultimately cutting severe inpatient hypoglycemia by more than half, as well as reductions in the length of hospital stays. From 2009 to 2013, AHRQ grantee Greg Maynard, M.D., and colleagues at the University of California, San Diego, studied the effectiveness of the intervention, which included a hypoglycemia reduction bundle (such as order sets and education), daily measurement of glycemic outliers with concurrent intervention, and clinical decision support. The interventions addressed common occurrences that impact glycemic control in hospitals, such as inappropriate insulin prescribing, failure to address unexpected nutritional interruption and failure to respond appropriately to the first hypoglycemic event. “Impact of a Hypoglycemia Reduction Bundle and a Systems Approach to Inpatient Glycemic Management” and theabstract were published online December 22, 2014.
Endocr Pract. 2014 Dec 22:1-34. [Epub ahead of print]
Impact of a Hypoglycemia Reduction Bundle and a Systems Approach to Inpatient Glycemic Management.
Maynard G1, Kulasa K2, Ramos P3, Childers D3, Clay B3, Sebasky M3, Fink E4, Field A4, Renvall M4, Juang PS2, Choe C2, Pearson D5, Serences B5, Lohnes S5.
Diabetes; glycemic control; hospital; hypoglycemia; insulin; quality improvement
- [PubMed - as supplied by publisher]