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A Mobile Computerized Decision Support System to Prevent Hypoglycemia in Hospitalized Patients With Type 2 Diabetes Mellitus.
- Source :
-
Journal of diabetes science and technology [J Diabetes Sci Technol] 2017 Jan; Vol. 11 (1), pp. 20-28. Date of Electronic Publication: 2016 Nov 03. - Publication Year :
- 2017
-
Abstract
- Background: Diabetes management requires complex and interdisciplinary cooperation of health care professionals (HCPs). To support this complex process, IT-support is recommended by clinical guidelines. The aim of this article is to report on results from a clinical feasibility study testing the prototype of a mobile, tablet-based client-server system for computerized decision and workflow support (GlucoTab®) and to discuss its impact on hypoglycemia prevention.<br />Methods: The system was tested in a monocentric, open, noncontrolled intervention study in 30 patients with type 2 diabetes mellitus (T2DM). The system supports HCPs in performing a basal-bolus insulin therapy. Diabetes therapy, adverse events, software errors and user feedback were documented. Safety, efficacy and user acceptance of the system were investigated.<br />Results: Only 1.3% of blood glucose (BG) measurements were <70 mg/dl and only 2.6% were >300 mg/dl. The availability of the system (97.3%) and the rate of treatment activities documented with the system (>93.5%) were high. Only few suggestions from the system were overruled by the users (>95.7% adherence). Evaluation of the 3 anonymous questionnaires showed that confidence in the system increased over time. The majority of users believed that treatment errors could be prevented by using this system.<br />Conclusions: Data from our feasibility study show a significant reduction of hypoglycemia by implementing a computerized system for workflow and decision support for diabetes management, compared to a paper-based process. The system was well accepted by HCPs, which is shown in the user acceptance analysis and that users adhered to the insulin dose suggestions made by the system.
- Subjects :
- Computers, Handheld
Diabetes Mellitus, Type 2 blood
Feasibility Studies
Female
Humans
Male
Workflow
Decision Support Systems, Clinical
Diabetes Mellitus, Type 2 drug therapy
Hypoglycemia prevention & control
Hypoglycemic Agents administration & dosage
Insulin administration & dosage
Mobile Applications
Subjects
Details
- Language :
- English
- ISSN :
- 1932-2968
- Volume :
- 11
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of diabetes science and technology
- Publication Type :
- Academic Journal
- Accession number :
- 27810995
- Full Text :
- https://doi.org/10.1177/1932296816676501