Implementation of a Multihospital Electronic Medical Record-Based Insulin Order Set to Reduce Hypoglycemic Events.

ABSTRACT:

Objective

Glycemic control in hospitalized patients with diabetes is crucial yet remains challenging. Hypoglycemia poses an increased risk of complications, prolonged stays, and mortality. Strategies such as basal-bolus-correction insulin can help balance glycemic control and reduce hypoglycemic events. This study evaluated the impact of a mandatory electronic medical record-based insulin order set across a multihospital system.

Methods

This quality improvement project was implemented at 10 hospitals in North Carolina, including urban, rural, and community sites. The intervention introduced a standardized insulin order set with multiple fail-safes addressing insulin-to-nutrition mismatch, basal and bolus coverage, and dose accuracy. The primary outcome was hypoglycemia days

SUBMITTER: DiSanti D 

PROVIDER: S-EPMC12744792 | biostudies-literature | 2025 Nov-Dec

REPOSITORIES: biostudies-literature