Journal of hospital medicine : an official publication of the Society of Hospital Medicine
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Multicenter Study Comparative Study
Evaluation of hospital glycemic control at US academic medical centers.
To evaluate contemporary hospital glycemic management in US academic medical centers. ⋯ Despite frequent insulin use, glucose control was suboptimal. Academic medical centers have opportunities to improve care to meet current American Diabetes Association hospital diabetes care standards.
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Comparative Study Clinical Trial
Effects of a subcutaneous insulin protocol, clinical education, and computerized order set on the quality of inpatient management of hyperglycemia: results of a clinical trial.
Inpatient hyperglycemia is associated with poor patient outcomes. It is unknown how best to implement glycemic management strategies in the non-intensive care unit (ICU) setting. ⋯ This multifaceted intervention, which was easy to implement and required minimal resources, was associated with improvements in both insulin ordering practices and glycemic control among non-ICU medical patients.
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Comparative Study
Limited communication and management of emergency department hyperglycemia in hospitalized patients.
Hyperglycemia is often overlooked and unaddressed in hospitalized patients, and early and intensive management may improve outcomes. ⋯ Most ED patients with even mild hyperglycemia were hospitalized. Recognition, communication, and management of ED hyperglycemia were suboptimal and represent a missed opportunity to identify undiagnosed diabetes and to initiate early glycemic control for hospitalized patients.