Decision support tool to improve glucose control compliance after cardiac surgery

Vitali Fedosov, Mikhail Dziadzko, Joseph A. Dearani, Daniel R. Brown, Brian W Pickering, Vitaly D Herasevich

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)274-282
Number of pages9
JournalAACN Advanced Critical Care
Volume27
Issue number3
DOIs
StatePublished - Nov 28 2016

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Keywords

  • Alert
  • Computer Applications
  • Outcomes
  • Sepsis

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care

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