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To determine whether an electronic order template for basal-bolus insulin ordering improves mean blood glucose in hospitalized general medical patients with hyperglycemia and type 2 diabetes.
Access to a computer insulin order template was associated with improved mean glucose levels without increasing hypoglycemia in patients with type 2 diabetes.
We randomly assigned internal medicine resident teams on acute general medical floors to the use of an electronic insulin order template or usual insulin ordering.
In this randomized trial of a computer order template to support basal-bolus insulin prescribing for general acute medical inpatients with type 2 diabetes, we found an improved mean glucose level in patients of providers given access to the order template.
Use of the order template may have been limited by its optional use and the minimal support for the order set, in contrast to similar programs at other centers (9, 10).
We piloted a simple electronic insulin order template based on previously studied protocols (1, 4, 14) and internal review by diabetologists and pharmacists at a tertiary care medical center with a proprietary computerized order entry system.
Similar(49)
Evidence-based order templates presented in this article are designed to assist practitioners through the process of managing patients with acute low back pain.
These protocols could be accomplished by the use of order templates and extensive pharmacy and nursing checks.
Order templates to support basal-bolus insulin prescribing (usually as part of a comprehensive inpatient diabetes quality improvement program) have been effective in improving glycemia in observational trials (4– 8).
The concept of multiple-order template mediation was brought forward for the first time.
The results suggested that the formation of the special rod-like nanoparticles could be controlled by a multiple-order template effect.
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CEO of Professional Science Editing for Scientists @ prosciediting.com