State-of-the-art inpatient diabetes care: The evolution of an academic hospital.
Endocr Pract. 2010 Mar 29;:1-28
Authors: Pietras SM, Hanrahan P, Arnold LM, Sternthal E, McDonnell ME
Objective: Institutions around the world are striving to develop safe and effective ways to manage hyperglycemia in hospitalized patients. And while data regarding the adverse associations of hyperglycemia continues to accumulate, so also does evidence that insulin therapy must be applied thoughtfully for each patient. Hospitals are struggling with gaps in expertise and standardization, and although several models of inpatient diabetes care have been published, the time course and series of interventions needed to affect change in a large institution may be difficult to appreciate. Methods: Here we report the product of an academic inpatient diabetes plan implemented over 5 years in an academic safety-net hospital. Results: We review the changes that have occurred over years to produce the final product of our program. We also highlight the academic training program model, whereby trainees learn skills that can be disseminated to other institutions. Conclusion: We discuss the methods used in one institution to achieve and sustain a hospital-wide paradigm shift in diabetes care over 5 years.
PMID: 20350921 [PubMed - as supplied by publisher]