title: Hyperglycemia grand rounds: descriptive findings of outcomes from a continuing education intervention to improve glycemic control and prevent hypoglycemia in the hospital setting.
abstract: Hyperglycemia is common in the hospital in-patient setting and is associated with adverse outcomes. Healthcare professionals (HCPs) often fail to use best practices established to manage this condition or to coordinate care among team members.
  
  
  OBJECTIVE
  The objective of the Hyperglycemia Grand Rounds (HGR) continuing education initiative was to improve knowledge levels in a team setting, leading to improved clinical competence, evidence-based behaviors, and improved patient care.
  
  
  METHODS
  To achieve that goal, a four-module seminar series was presented to HCPs on-site in a "Grand Rounds" format at healthcare institutions across the United States. Outcomes data included satisfaction, learning, impact, and intent-to-implement measures at event time and at follow-up. At the site level, detailed questionnaires assessed skill gaps and expected outcomes from administrators at the time the modules were scheduled and the impact after modules were completed. Demographic information allowed identification of HCPs receiving maximum benefits; data on barriers to implementation are reported.
  
  
  RESULTS
  Seventy-eight percent of participants self-reported a positive impact on competence, performance, or patient outcomes. Forty percent of learners said they intended to make specific changes in practices. Eighty-two percent of administrators confirmed expected changes in their health system. The follow-up study concurred with the initial findings.
  
  
  CONCLUSIONS
  The HGR was an effective program in improving self-reported competence amongst attendees that could potentially lead to improved care. This descriptive report summarizes outcomes from 1 year of educational efforts to more than 2000 healthcare professionals.
authors.affiliation: a David Geffen School of Medicine, University of California, Los Angeles , Marina del Rey , CA , USA.
authors.forename: Etie S
authors.initials: ES
authors.lastname: Moghissi
authors.affiliation: b Section of Endocrinology , Yale School of Medicine , New Haven , CT , USA.
authors.forename: Silvio E
authors.initials: SE
authors.lastname: Inzucchi
authors.affiliation: c E&S MedEd Group, Inc ., Perkasie , PA , USA.
authors.forename: Katherine V
authors.initials: KV
authors.lastname: Mann
authors.affiliation: d Level 6 Analytics , Durham , NC , USA.
authors.forename: Boyce
authors.initials: B
authors.lastname: Byerly
authors.affiliation: e E&S MedEd Group, Inc ., Perkasie , PA , USA.
authors.forename: Laurie
authors.initials: L
authors.lastname: Ermentrout
authors.affiliation: f American Academy of CME, Inc ., Jackson , NJ , USA.
authors.forename: John J D
authors.initials: JJ
authors.lastname: Juchniewicz
authors.affiliation: e E&S MedEd Group, Inc ., Perkasie , PA , USA.
authors.forename: Jocelyn H
authors.initials: JH
authors.lastname: Ferareza
authors.affiliation: f American Academy of CME, Inc ., Jackson , NJ , USA.
authors.forename: Natalie
authors.initials: N
authors.lastname: Kirkwood
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards*; D004502:Education, Medical, Continuing / Q000458:organization & administration*; D006801:Humans; D006943:Hyperglycemia / Q000517:prevention & control*; D007003:Hypoglycemia / Q000517:prevention & control*; D008505:Medical Staff, Hospital / Q000193:education* / Q000592:standards; D058996:Quality Improvement / Q000458:organization & administration; D014481:United States
keywords: Diabetes mellitus; continuing education; educational impact; hyperglycemia; inpatient; learning; quality improvement; seminars; survey