Matches in SemOpenAlex for { <https://semopenalex.org/work/W3213486564> ?p ?o ?g. }
Showing items 1 to 82 of
82
with 100 items per page.
- W3213486564 abstract "The Institute for Safe Medication Practices classifies subcutaneous insulin as a high-risk medication. Concentrated U-500 insulin carries additional risks in comparison to conventional U-100 insulin, as the 5-fold more concentrated nature of this product, limitations to insulin pen dosing, and various devices for dose measurement may lead to miscommunication of patient-reported doses, resulting in downstream errors in ordering, verification, or administration. We describe a multifaceted approach to leveraging technical tools within the electronic health record (EHR) for U-500 insulin use.At Cleveland Clinic, the U-500 insulin use process evolved in a number of phases using EHR tools. Phase 1 included new clinical decision support and documentation tools during order entry, including a customized alert that fired during order entry recommending that the prescriber order a consult with endocrinology and requiring the prescriber to provide the patient's home insulin measuring device and the source of the patient's reported home dose. In order verification, a customized alert fired directing the pharmacist to contact the patient or patient's nurse and validate the information provided by the prescriber. Phase 2 involved transitioning dispensing of patient-specific doses from tuberculin syringes to U-500 insulin syringes. Phase 3 transitioned to use of U-500 insulin pens and included automatic dose rounding of ordered doses down to the nearest 5 units, and an additional customized pharmacist alert intended for cost conservation was added to fire if the patient had a recent administration of U-500 insulin documented, directing the pharmacist to determine whether the nurse needed a new pen dispensed.Cleveland Clinic successfully implemented customized tools and processes within the EHR pertaining to the prescribing, verification, dispensing, and administration of U-500 insulin." @default.
- W3213486564 created "2021-11-22" @default.
- W3213486564 creator A5013062037 @default.
- W3213486564 creator A5030851877 @default.
- W3213486564 creator A5030855491 @default.
- W3213486564 creator A5036899428 @default.
- W3213486564 creator A5045962799 @default.
- W3213486564 creator A5072041574 @default.
- W3213486564 creator A5074613290 @default.
- W3213486564 creator A5075050926 @default.
- W3213486564 creator A5089942653 @default.
- W3213486564 date "2021-11-08" @default.
- W3213486564 modified "2023-09-26" @default.
- W3213486564 title "A multifaceted approach in leveraging electronic health record tools for safe inpatient use of concentrated U-500 insulin" @default.
- W3213486564 doi "https://doi.org/10.1093/ajhp/zxab408" @default.
- W3213486564 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/34746953" @default.
- W3213486564 hasPublicationYear "2021" @default.
- W3213486564 type Work @default.
- W3213486564 sameAs 3213486564 @default.
- W3213486564 citedByCount "0" @default.
- W3213486564 crossrefType "journal-article" @default.
- W3213486564 hasAuthorship W3213486564A5013062037 @default.
- W3213486564 hasAuthorship W3213486564A5030851877 @default.
- W3213486564 hasAuthorship W3213486564A5030855491 @default.
- W3213486564 hasAuthorship W3213486564A5036899428 @default.
- W3213486564 hasAuthorship W3213486564A5045962799 @default.
- W3213486564 hasAuthorship W3213486564A5072041574 @default.
- W3213486564 hasAuthorship W3213486564A5074613290 @default.
- W3213486564 hasAuthorship W3213486564A5075050926 @default.
- W3213486564 hasAuthorship W3213486564A5089942653 @default.
- W3213486564 hasConcept C104863432 @default.
- W3213486564 hasConcept C126322002 @default.
- W3213486564 hasConcept C159110408 @default.
- W3213486564 hasConcept C160735492 @default.
- W3213486564 hasConcept C162324750 @default.
- W3213486564 hasConcept C199360897 @default.
- W3213486564 hasConcept C2777288759 @default.
- W3213486564 hasConcept C2779306644 @default.
- W3213486564 hasConcept C2779328685 @default.
- W3213486564 hasConcept C2779417425 @default.
- W3213486564 hasConcept C2779457091 @default.
- W3213486564 hasConcept C41008148 @default.
- W3213486564 hasConcept C50522688 @default.
- W3213486564 hasConcept C545542383 @default.
- W3213486564 hasConcept C56666940 @default.
- W3213486564 hasConcept C71924100 @default.
- W3213486564 hasConcept C98274493 @default.
- W3213486564 hasConceptScore W3213486564C104863432 @default.
- W3213486564 hasConceptScore W3213486564C126322002 @default.
- W3213486564 hasConceptScore W3213486564C159110408 @default.
- W3213486564 hasConceptScore W3213486564C160735492 @default.
- W3213486564 hasConceptScore W3213486564C162324750 @default.
- W3213486564 hasConceptScore W3213486564C199360897 @default.
- W3213486564 hasConceptScore W3213486564C2777288759 @default.
- W3213486564 hasConceptScore W3213486564C2779306644 @default.
- W3213486564 hasConceptScore W3213486564C2779328685 @default.
- W3213486564 hasConceptScore W3213486564C2779417425 @default.
- W3213486564 hasConceptScore W3213486564C2779457091 @default.
- W3213486564 hasConceptScore W3213486564C41008148 @default.
- W3213486564 hasConceptScore W3213486564C50522688 @default.
- W3213486564 hasConceptScore W3213486564C545542383 @default.
- W3213486564 hasConceptScore W3213486564C56666940 @default.
- W3213486564 hasConceptScore W3213486564C71924100 @default.
- W3213486564 hasConceptScore W3213486564C98274493 @default.
- W3213486564 hasLocation W32134865641 @default.
- W3213486564 hasLocation W32134865642 @default.
- W3213486564 hasOpenAccess W3213486564 @default.
- W3213486564 hasPrimaryLocation W32134865641 @default.
- W3213486564 hasRelatedWork W2008974290 @default.
- W3213486564 hasRelatedWork W2015452903 @default.
- W3213486564 hasRelatedWork W2062023403 @default.
- W3213486564 hasRelatedWork W2094700815 @default.
- W3213486564 hasRelatedWork W2135314179 @default.
- W3213486564 hasRelatedWork W2182161291 @default.
- W3213486564 hasRelatedWork W2418440611 @default.
- W3213486564 hasRelatedWork W3010475752 @default.
- W3213486564 hasRelatedWork W3089888828 @default.
- W3213486564 hasRelatedWork W4235981928 @default.
- W3213486564 isParatext "false" @default.
- W3213486564 isRetracted "false" @default.
- W3213486564 magId "3213486564" @default.
- W3213486564 workType "article" @default.