201. Electronic Diabetes Management System Replaces Paper Insulin Chart: Improved Quality in Diabetes Inpatient Care Processes Due to Digitalization
- Author
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Julia K. Mader, Constanze Koenig, Peter Beck, Bernhard Höll, Thomas Truskaller, Brigitte Hahn, Julia Kopanz, Frank Sinner, Thomas R. Pieber, Gerald Sendlhofer, Franz Feichtner, Katharina M. Lichtenegger, Klaus Donsa, Angela Libiseller, and Norbert Bauer
- Subjects
Blood Glucose ,medicine.medical_specialty ,Special Section: Insulin Dosing Software in the Hospital ,Endocrinology, Diabetes and Metabolism ,media_common.quotation_subject ,medicine.medical_treatment ,Biomedical Engineering ,Bioengineering ,Diabetes Therapy ,Clinical decision support system ,Chart ,Diabetes management ,Diabetes mellitus ,Internal Medicine ,medicine ,Humans ,Insulin ,Quality (business) ,Intensive care medicine ,Retrospective Studies ,media_common ,Inpatients ,Inpatient care ,business.industry ,medicine.disease ,Diabetes Mellitus, Type 2 ,Electronics ,business - Abstract
Background: 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. Method: 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. Results: 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 Conclusions: The eDMS completely replaced the paper chart, showed comparable glycemic control, was positively accepted by HCPs, and is suitable for inpatient diabetes management.
- Published
- 2020