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- W1946677787 abstract "Incorporating ADA Best Practice Guidelines in Electronic Medical Records to Improve Glycemic Management in Hospitals by Jennifer Benjamin RN, BSN, MSN, DNP(c), CCHP, CLNC MSN/Management, University of Hartford 2001 BSN, University of Hartford 1997 Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University March 2015 Abstract Aggressive management of diabetes using American Diabetes Association (ADA) best practice guidelines in hospitalized patients reduces morbidity and mortality. Inpatient electronic medical records systems improve care in chronic diseases by identifying care needs and improving the data available for decision-making and disease management. The purpose of this quality improvement project was to evaluate the impact of ADA best practice guidelines of glycemic management once they have been entered into the EMR of hospitalized diabetics. Kotter’s organizational change process guided the project. The project question investigated whether nurses’ use of ADA Best Practice Guidelines incorporated into the EMR improve glycemic management in hospitalized patients. A quality improvement pretest-posttest design evaluated the intervention to assess whether the program goals were met. A convenience sample of 8 nurses practicing in a subacute health care facility participated in the program with pretest–posttest data obtained from a convenience sampling of diabetic patients admitted to the facility (n =50). A1C, diabetes types, and hypo/hyperglycemic treatment event data were compared 30 days preandAggressive management of diabetes using American Diabetes Association (ADA) best practice guidelines in hospitalized patients reduces morbidity and mortality. Inpatient electronic medical records systems improve care in chronic diseases by identifying care needs and improving the data available for decision-making and disease management. The purpose of this quality improvement project was to evaluate the impact of ADA best practice guidelines of glycemic management once they have been entered into the EMR of hospitalized diabetics. Kotter’s organizational change process guided the project. The project question investigated whether nurses’ use of ADA Best Practice Guidelines incorporated into the EMR improve glycemic management in hospitalized patients. A quality improvement pretest-posttest design evaluated the intervention to assess whether the program goals were met. A convenience sample of 8 nurses practicing in a subacute health care facility participated in the program with pretest–posttest data obtained from a convenience sampling of diabetic patients admitted to the facility (n =50). A1C, diabetes types, and hypo/hyperglycemic treatment event data were compared 30 days preand post-intervention. Outcome data calculated using descriptive statistics revealed improved documentation for A1C results (4% to 96%), the different types of diabetes (from 100% documented as Type 1 to 28% documented as Type 2), and increased corrective measures for abnormal glycemic events (increased 10% to 44%). EMR alerts and reminders provided timely information to health care practitioners, resulting in better management for the diabetic patient. Thus affecting social change of diabetes care. Incorporating ADA Best Practice Guidelines in Electronic Medical Records to Improve Glycemic Management in Hospitals by Jennifer Benjamin RN, BSN, MSN, DNP(c) CCHP, CLNC Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University January 2015" @default.
- W1946677787 created "2016-06-24" @default.
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- W1946677787 date "2015-01-01" @default.
- W1946677787 modified "2023-09-27" @default.
- W1946677787 title "Incorporating ADA Best Practice Guidelines in Electronic Medical Records to Improve Glycemic Management in Hospitals" @default.
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