Unanticipated consequences of hospital-based insulin management order sets.
Recent studies demonstrated risks to patient safety associated with implementation of electronic applications for medication management in ambulatory care. This study was aimed at demonstrating similar phenomenon in a hospital setting. After introduction of computerized order set targeting hypoglycemia, the frequency of hypoglycemia significantly decreased from 1/1/07 to 12/31/08. In contrast, the frequency of hyperglycemia increased at the same time from 1/1/07 to 12/31/07. Only after subsequent introduction of a hospital-wide standardized insulin order set including hyperglycemia policies frequency of hyperglycemic episodes declined. Hypo/hyperglycemia is associated with adverse clinical outcomes in the inpatient setting. Retroactive analysis showed that if hypoglycemic and hyperglycemic policies were introduced simultaneously, unexpected increase in frequency of hyperglycemic episodes could have been avoided. These data are informative in identifying unanticipated consequences of an insulin management order sets focused entirely on hypoglycemia. A balanced approach in implementing insulin management guidelines concurrently addressing both hypoglycemia and hyperglycemia policies is warranted.
Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Eunme
E
Cha
Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Sherita Hill
SH
Golden
Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Joseph
J
Finkelstein
D006801:Humans; D006943:Hyperglycemia / Q000453:epidemiology / Q000517:prevention & control; D007003:Hypoglycemia / Q000188:drug therapy; D007328:Insulin / Q000627:therapeutic use*; D050316:Medical Order Entry Systems / Q000458:organization & administration; D016134:Organizational Policy; D061214:Patient Safety
D007328:Insulin