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首页> 外文期刊>Journal of Diabetes Science and Technology >Electronic Diabetes Management System Replaces Paper Insulin Chart: Improved Quality in Diabetes Inpatient Care Processes Due to Digitalization
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Electronic Diabetes Management System Replaces Paper Insulin Chart: Improved Quality in Diabetes Inpatient Care Processes Due to Digitalization

机译：电子糖尿病管理系统取代纸胰岛素图表：由于数字化导致的糖尿病住院护理过程中的提高质量

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Background: GlucoTab, 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. Method: To 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 ( n ?=?106) vs filled-in eDMS documentation ( n ?=?241). HCPs ( n ?=?59) were interviewed regarding eDMS satisfaction. Results: The 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. Conclusions: The eDMS completely replaced the paper chart, showed comparable glycemic control, was positively accepted by HCPs, and is suitable for inpatient diabetes management.
机译：背景：电子糖尿病管理系统（EDMS），葡萄糖中的血糖专业人员（EDMS）在护理点，支持在住院血糖（BG）管理中的医疗保健专业人员（BG）管理，并在区域医院的常规条件下首次实施以取代纸胰岛素图表。方法：研究具有2型糖尿病的住院患者EDMS的质量，进行了在评价之前的单眼回顾。我们通过评估空白纸图VS EDMS用户界面进行比较文档可能性。通过评估填充纸图（n？=α106）与填充的EDMS文档（n？=？241）进行了比较了进一步的质量方面。关于EDMS满意度的采访了HCPS（N？=？59）。结果：EDMS通过与空白纸张图表相比，通过提供更具结构化和全面的用户界面来表示文档可能性的提高。两组中位数为四天的良好糖尿病天数（纸图：4.38 [0-7] VS EDMS：4.38 [0-7]天）。中位数每日BG为170（117-297）Mg / DL VS 168（86-286）Mg / DL和中值BG为152（95-285）Mg / DL VS 145（69-333）Mg / DL，0.1记录％VS 0.4％BG值<54Ω·mg / dl。例如，当使用EDM时，糖尿病文档质量得到改善，例如，订购的BG测量频率的文档（1％对100％）和有序的BG目标（0％Vs 100％）。 HCPS表示，通过使用EDMS错误可以防止（74％），并完成工作流程的数字支持（77％）。 8个HCP中的8个中的8个中节省了8个，并估计每位患者日的10-15分钟，由两个HCP分钟。结论：EDMS完全替换纸张图表，显示出可比较的血糖控制，受HCP呈正接受，适用于住院性糖尿病管理。

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