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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).
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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.
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.
Access to a computer insulin order template was associated with improved mean glucose levels without increasing hypoglycemia in patients with type 2 diabetes.
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.
We tested the hypothesis that giving internal medicine residents access to an electronic insulin order template would be more effective than usual insulin ordering in lowering mean blood glucose in medical inpatients with type 2 diabetes.
In conclusion, access to an electronic basal-bolus insulin order template was associated with a significant improvement in glycemic control among patients with type 2 diabetes without increasing the rate of hypoglycemia but did not substantially change insulin ordering behavior.
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