The GesTIO protocol experience: safety of a standardized order set for subcutaneous insulin regimen in elderly hospitalized patients

2017 ◽  
Vol 29 (6) ◽  
pp. 1087-1093 ◽  
Author(s):  
Alessandro Franchin ◽  
Alberto Maran ◽  
Daniela Bruttomesso ◽  
Maria L. Corradin ◽  
Francesco Rossi ◽  
...  
Keyword(s):  
Hospitalized Patients ◽  
Insulin Regimen ◽  
Subcutaneous Insulin ◽  
Elderly Hospitalized Patients ◽  
Order Set

scholarly journals Development and Implementation of a Subcutaneous Insulin Clinical Decision Support Tool for Hospitalized Patients

2018 ◽  
Vol 13 (3) ◽  
pp. 522-532 ◽  
Author(s):  
Nestoras Mathioudakis ◽  
Rebecca Jeun ◽  
Gerald Godwin ◽  
Annette Perschke ◽  
Swaytha Yalamanchi ◽  
...  
Keyword(s):  
Decision Support ◽  
Critically Ill ◽  
Clinical Decision Support ◽  
Clinical Effectiveness ◽  
Clinical Decision ◽  
Healthcare Research ◽  
Hospitalized Patients ◽  
Insulin Regimen ◽  
Subcutaneous Insulin ◽  
Support Tool

Background: Insulin is one of the highest risk medications used in hospitalized patients. Multiple complex factors must be considered in determining a safe and effective insulin regimen. We sought to develop a computerized clinical decision support (CDS) tool to assist hospital-based clinicians in insulin management. Methods: Adapting existing clinical practice guidelines for inpatient glucose management, a design team selected, configured, and implemented a CDS tool to guide subcutaneous insulin dosing in non–critically ill hospitalized patients at two academic medical centers that use the EpicCare® electronic medical record (EMR). The Agency for Healthcare Research and Quality (AHRQ) best practices in CDS design and implementation were followed. Results: A CDS tool was developed in the form of an EpicCare SmartForm, which generates an insulin regimen by integrating information about the patient’s body weight, diabetes type, home and hospital insulin requirements, and nutritional status. Total daily recommended insulin doses are distributed into respective basal and nutritional doses with a tailored correctional insulin scale. Preimplementation, several approaches were used to communicate this new tool to clinicians, including emails, lectures, and videos. Postimplementation, a support team was available to address user technical issues. Feedback from stakeholders has been used to continuously refine the tool. Inclusion of the programming in the EMR vendor’s community library has allowed dissemination of the tool outside our institution. Conclusions: We have developed an EMR-based tool to guide SQ insulin dosing in non–critically ill hospitalized patients. Further studies are needed to evaluate adoption and clinical effectiveness of this intervention.

Impact of diabetes on cognitive impairment and disability in elderly hospitalized patients with heart failure

2013 ◽  
Vol 13 (4) ◽  
pp. 1035-1042 ◽  
Author(s):  
Giorgio Basile ◽  
Andrea Crucitti ◽  
Maria D Cucinotta ◽  
Paolo Figliomeni ◽  
Antonio Lacquaniti ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cognitive Impairment ◽  
Hospitalized Patients ◽  
Patients With Heart Failure ◽  
Elderly Hospitalized Patients

Use of photographs for the identification of pressure ulcers in elderly hospitalized patients: validity and reliability

2006 ◽  
Vol 14 (4) ◽  
pp. 506-513 ◽  
Author(s):  
A. Russell Localio ◽  
David J. Margolis ◽  
Sarah H. Kagan ◽  
Robert A. Lowe ◽  
Bruce Kinosian ◽  
...  
Keyword(s):  
Pressure Ulcers ◽  
Hospitalized Patients ◽  
Validity And Reliability ◽  
Elderly Hospitalized Patients

scholarly journals Identification of Frailty and Its Risk Factors in Elderly Hospitalized Patients from Different Wards: A Cross-Sectional Study in China

2019 ◽  
Vol Volume 14 ◽  
pp. 2249-2259 ◽  
Author(s):  
Yao-Dan Liang ◽  
Yao-Nan Zhang ◽  
Yan-Ming Li ◽  
Yu-Hui Chen ◽  
Jing-Yong Xu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cross Sectional Study ◽  
Hospitalized Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
Elderly Hospitalized Patients

The decision-making capacity of elderly hospitalized patients: validation of a test on their choice of return home

2018 ◽  
Vol 16 (1) ◽  
pp. 39-48
Author(s):  
Mouna Romdhani ◽  
Rachid Abbas ◽  
Cécile Peyneau ◽  
Pierre Koskas ◽  
Nadège Houenou Quenum ◽  
...  
Keyword(s):  
Decision Making ◽  
Hospitalized Patients ◽  
Decision Making Capacity ◽  
Return Home ◽  
Elderly Hospitalized Patients
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