Abstract:
OBJECTIVE:To determine whether an educational intervention for medical house staff improves blood glucose (BG) in hospitalized patients. RESEARCH DESIGN AND METHODS:All 116 medicine residents at an academic medical center were assigned to online or classroom training on inpatient dysglycemia in fall 2008. Both groups were offered an online refresher course in spring 2009 addressing gaps in clinical practice identified on chart review. We assessed event BG, the first BG of any 3-h period, on two teaching wards. RESULTS:A total of 108 residents (93.1%) completed the initial training. The primary outcome, median event BG, decreased from 152 mg/dL in August 2008 to 139 mg/dL in December 2008 (P < 0.0001). Prevalence of event BG >200 mg/dL decreased from 25.5 to 22.7% (P = 0.0207), at the expense of more event BGs <70 mg/dL (2.0-3.9%, P = 0.0124). CONCLUSIONS:A curriculum for medicine residents on inpatient glycemia led to lower inpatient BG.
journal_name
Diabetes Carejournal_title
Diabetes careauthors
Tamler R,Green DE,Skamagas M,Breen TL,Looker HC,Babyatsky M,Leroith Ddoi
10.2337/dc11-0517subject
Has Abstractpub_date
2011-08-01 00:00:00pages
1738-40issue
8eissn
0149-5992issn
1935-5548pii
dc11-0517journal_volume
34pub_type
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