Evidence map›Paper›PMID 32935559›Full record

ArticleJournal of diabetes science and technology2021

Electronic Diabetes Management System Replaces Paper Insulin Chart: Improved Quality in Diabetes Inpatient Care Processes Due to Digitalization.

Julia Kopanz, Katharina M Lichtenegger, Constanze Koenig, Angela Libiseller, Julia K Mader, Klaus Donsa, Thomas Truskaller, Norbert Bauer, Brigitte Hahn, Gerald Sendlhofer and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of diabetes science and technology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 1 country.

Julia KopanzDepartment of Internal Medicine, Division of Endocrinology and Diabetology, Medical University of Graz, Austria.
Katharina M LichteneggerDepartment of Internal Medicine, Division of Endocrinology and Diabetology, Medical University of Graz, Austria.ORCID 0000-0001-8778-1994
Constanze KoenigJOANNEUM RESEARCH Forschungsgesellschaft mbH, HEALTH, Institute for Biomedicine and Health Sciences, Graz, Austria.
Angela LibisellerDepartment of Internal Medicine, Division of Endocrinology and Diabetology, Medical University of Graz, Austria.
Julia K MaderDepartment of Internal Medicine, Division of Endocrinology and Diabetology, Medical University of Graz, Austria.ORCID 0000-0001-7854-4233
Klaus DonsaJOANNEUM RESEARCH Forschungsgesellschaft mbH, HEALTH, Institute for Biomedicine and Health Sciences, Graz, Austria.
Thomas TruskallerJOANNEUM RESEARCH Forschungsgesellschaft mbH, HEALTH, Institute for Biomedicine and Health Sciences, Graz, Austria.
Norbert BauerDepartment of Internal Medicine, LKH Hartberg, Austria.
Brigitte HahnLKH Hartberg, Austria.
Gerald SendlhoferDepartment for Surgery, Research Unit for Safety in Health, Division for Plastic, Aesthetic and Reconstructive Surgery, Medical University of Graz, Austria.
Peter BeckDecide Clinical Software GmbH, Graz, Austria.
Bernhard HöllDecide Clinical Software GmbH, Graz, Austria.
Frank SinnerDepartment of Internal Medicine, Division of Endocrinology and Diabetology, Medical University of Graz, Austria.
Franz FeichtnerJOANNEUM RESEARCH Forschungsgesellschaft mbH, HEALTH, Institute for Biomedicine and Health Sciences, Graz, Austria.ORCID 0000-0001-8999-3421
Thomas R PieberDepartment of Internal Medicine, Division of Endocrinology and Diabetology, Medical University of Graz, Austria.
Joanneum Research · ATMedical University of Graz · ATKrankenhaus der Elisabethinen · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlucoTab, 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.

methodTo 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 (

resultsThe 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 <54 mg/dL were documented. Diabetes documentation quality improved when using eDMS, for example, documentation of ordered BG measurement frequency (1% vs 100%) and ordered BG targets (0% vs 100%). HCPs stated that by using eDMS errors could be prevented (74%), and digital support of work processes was completed (77%). Time saving was noted by 8 out of 11 HCPs and estimated at 10-15 minutes per patient day by two HCPs.

conclusionsThe eDMS completely replaced the paper chart, showed comparable glycemic control, was positively accepted by HCPs, and is suitable for inpatient diabetes management.

Indexed as

Diabetes Mellitus, Type 2InpatientsBlood GlucoseElectronicsHumansInsulinRetrospective StudiesBlood GlucoseInsulinclinical decision supportdiabetesdiabetes therapydigitalizationhospitaltreatment quality

Identifiers

PMID32935559
PMCPMC8256067
OpenAlexW3087596580

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.