ArticleAACE endocrinology and diabetes
Implementation of a Multihospital Electronic Medical Record-Based Insulin Order Set to Reduce Hypoglycemic Events.
Article in AACE endocrinology and diabetes. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Glycemic control in hospitalized patients with diabetes is crucial yet remains challenging. Hypoglycemia poses an increased risk of complications, prolonged stays, and mortality. Strategies such as basal-bolus-correction insulin can help balance glycemic control and reduce hypoglycemic events. This study evaluated the impact of a mandatory electronic medical record-based insulin order set across a multihospital system. Methods: This quality improvement project was implemented at 10 hospitals in North Carolina, including urban, rural, and community sites. The intervention introduced a standardized insulin order set with multiple fail-safes addressing insulin-to-nutrition mismatch, basal and bolus coverage, and dose accuracy. The primary outcome was hypoglycemia days per 1000 patient-days in nonpregnant adults. Secondary outcomes included hyperglycemia days and the rate of hemoglobin A1c orders. Results: Hypoglycemia days across all sites decreased from 13 to 10 per 1000 patient-days (24% reduction, Conclusion: Implementation of a mandatory, standardized insulin order set with multiple fail-safes across a multihospital system effectively reduced hypoglycemic events, thus demonstrating their value in managing inpatient diabetes.
Indexed as
Identifiers
What Socratic holds
Registered trials
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.