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Current Diabetes Reports
Published in: Current Diabetes Reports 4/2015

01-04-2015 | Hospital Management of Diabetes (GE Umpierrez, Section Editor)

Improvement in Inpatient Glycemic Care: Pathways to Quality

Authors: Joseph A. Aloi, Christopher Mulla, Jagdeesh Ullal, David C. Lieb

Published in: Current Diabetes Reports | Issue 4/2015

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Abstract

The management of inpatient hyperglycemia is a focus of quality improvement projects across many hospital systems while remaining a point of controversy among clinicians. The association of inpatient hyperglycemia with suboptimal hospital outcomes is accepted by clinical care teams; however, the clear benefits of targeting hyperglycemia as a mechanism to improve hospital outcomes remain contentious. Glycemic management is also frequently confused with efforts aimed at intensive glucose control, further adding to the confusion. Nonetheless, several regulatory agencies assign quality rankings based on attaining specified glycemic targets for selected groups of patients (Surgical Care Improvement Project (SCIP) measures). The current paper reviews the data supporting the benefits associated with inpatient glycemic control projects, the components of a successful glycemic control intervention, and utilization of the electronic medical record in implementing an inpatient glycemic control project.
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Metadata
Title
Improvement in Inpatient Glycemic Care: Pathways to Quality
Authors
Joseph A. Aloi
Christopher Mulla
Jagdeesh Ullal
David C. Lieb
Publication date
01-04-2015
Publisher
Springer US
Published in
Current Diabetes Reports / Issue 4/2015
Print ISSN: 1534-4827
Electronic ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-015-0587-4

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Current Diabetes Reports 4/2015 Go to the issue

Diabetes, Other Diseases, and New Complications: Emerging Associations (JJ Nolan, Section Editor)

Diabetes and Epilepsy in Children and Adolescents

Hospital Management of Diabetes (GE Umpierrez, Section Editor)

Hospital Readmission of Patients with Diabetes

Health Care Delivery Systems and Implementation in Diabetes (EB Morton-Eggleston, Section Editor)

The Impact of Health Systems on Diabetes Care in Low and Lower Middle Income Countries

Diabetes and Pregnancy (CJ Homko, Section Editor)

Vascular Complications in the Diabetic Pregnancy

Hospital Management of Diabetes (GE Umpierrez, Section Editor)

Management of the Hospitalized Transplant Patient

Obesity (J McCaffery, Section Editor)

Bariatric Surgery: Prevalence, Predictors, and Mechanisms of Diabetes Remission
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WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

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