Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study
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- 作者：Klaus Donsa
- 关键词：Clinical decision support ; Medication management system ; Medication order entry ; Medication errors ; Type 2 diabetes mellitus ; Basal-bolus insulin therapy ; Best practice
- 刊名：International Journal of Medical Informatics
- 出版年：2016
- 出版时间：June 2016
- 年：2016
- 卷：90
- 期：Complete
- 页码：58-67
- 全文大小：888 K
文摘
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- <p id="par0005">Paper group: manual insulin dose calculations were major source of error.p>
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- <p id="par0010">8 times more BG measurements were influenced by dosing errors.p>
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- <p id="par0015">Dosing errors led to hypoglycemic episodes, OR 3.1 (95% CI: 1.4–6.8).p>
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- <p id="par0020">Computerized group: calculation errors avoided, workflow investigation possible.p>
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- <p id="par0025">Workflow deviations led to hyperglycemic episodes, OR 2.2 (95% CI: 1.1–4.6).p>