Decision Support Tool to Improve Glucose Control Compliance After Cardiac Surgery.
Hyperglycemia control is associated with improved outcomes in patients undergoing cardiac surgery. The Surgical Care Improvement Project metric (SCIP-inf-4) was introduced as a performance measure in surgical patients and included hyperglycemia control. Compliance with the SCIP-inf-4 metric remains...
| Publicado en: | AACN Advanced Critical Care Vol. 27; no. 3; pp. 274 - 283 |
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| Autores principales: | , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Jul-Sep2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117888285&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 117888285 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15597768 26ZY jtl: AACN Advanced Critical Care issn: 15597768 maglogo: N pubinfo: dt: Jul-Sep2016 vid: 27 iid: 3 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 117888285 117888285 117888285 10.4037/aacnacc2016634 117888285 ppf: 274 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Decision Support Tool to Improve Glucose Control Compliance After Cardiac Surgery. aug: au: Fedosov, Vitali Dziadzko, Mikhail Dearani, Joseph A. Brown, Daniel R. Pickering, Brian W. Herasevich, Vitaly affil: Research Fellow, Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota sug: subj: Surgical Patients Cardiac Surgery Glycemic Control Decision Support Systems, Clinical Postoperative Care Human Case Control Studies Retrospective Design Intensive Care Units Academic Medical Centers Minnesota Minnesota Program Implementation Program Evaluation Record Review Electronic Health Records Quality Improvement T-Tests Mann-Whitney U Test Chi Square Test Fisher's Exact Test Male Female Middle Age Aged Professional Compliance Evaluation Descriptive Research Descriptive Statistics Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Hyperglycemia control is associated with improved outcomes in patients undergoing cardiac surgery. The Surgical Care Improvement Project metric (SCIP-inf-4) was introduced as a performance measure in surgical patients and included hyperglycemia control. Compliance with the SCIP-inf-4 metric remains suboptimal. A novel real-time decision support tool (DST) with guaranteed feedback that is based on the existing electronic medical record system was developed at a tertiary academic center. Implementation of the DST increased the compliance rate with the SCIP-inf-4 from 87.3% to 96.5%. Changes in tested clinical outcomes were not observed with improved metric compliance. This new framework can serve as a backbone for development of quality control processes for other metrics. Further and, ideally, multicenter studies are required to test if implementation of electronic DSTs will translate into improved resource utilization and outcomes for patients. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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