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使用标准化血糖报告系统和动态血糖图谱节省时间

Time Savings Using a Standardized Glucose Reporting System and Ambulatory Glucose Profile.

作者信息

Mullen Deborah M, Bergenstal Richard, Criego Amy, Arnold Kathleen Cecilia, Goland Robin, Richter Sara

机构信息

1 International Diabetes Center, St. Louis Park, MN, USA.

2 Park Nicollet Pediatric Endocrinology & International Diabetes Center, St. Louis Park, MN, USA.

出版信息

J Diabetes Sci Technol. 2018 May;12(3):614-621. doi: 10.1177/1932296817740592. Epub 2017 Nov 24.

Abstract

BACKGROUND

Diabetes care is predominately done at home by the patient. When clinics do not have a reliable, easy process for obtaining this patient data, clinical decisions must be made with incomplete verbal recall reports. Unused or inaccessible glucose data represent a large information gap affecting clinical decision making. This study's purpose was to design an optimized glucose device download system with a standardized report and to evaluate its efficiency.

METHODS

Observations and evaluations of glucose data retrieval occurred at two clinics; an additional clinic utilized the optimized process doing only post process timings. Patients/families and clinicians were surveyed about their experiences with the system and the standardized report (AGP). The study was approved by all the sites' IRBs.

RESULTS

Optimized systems saved staff at least 3 min per patient. Standardized AGP reports and an optimized data system made the work flow of glucose data easier to complete. The AGP report was preferred by patients, families, and clinicians.

CONCLUSIONS

An optimized system takes advantage of patient lobby downtime to download glucose devices and ensures that diabetes clinical decisions are made utilizing all available data. Staff and patients liked the software lobby system and found it a valuable time-saving tool.

摘要

背景

糖尿病护理主要由患者在家中进行。当诊所没有可靠、简便的流程来获取这些患者数据时,临床决策就必须基于不完整的口头回忆报告来做出。未使用或无法获取的血糖数据代表了一个影响临床决策的巨大信息缺口。本研究的目的是设计一个具有标准化报告的优化血糖设备下载系统,并评估其效率。

方法

在两家诊所对血糖数据检索进行观察和评估;另一家诊所仅在流程后期使用优化后的流程进行计时。对患者/家属和临床医生就他们对该系统和标准化报告(AGP)的体验进行了调查。该研究获得了所有研究地点的机构审查委员会(IRB)的批准。

结果

优化后的系统为每位患者至少节省了工作人员3分钟。标准化的AGP报告和优化的数据系统使血糖数据的工作流程更易于完成。AGP报告受到患者、家属和临床医生的青睐。

结论

优化后的系统利用患者在候诊区的空闲时间来下载血糖设备,并确保利用所有可用数据做出糖尿病临床决策。工作人员和患者都喜欢软件候诊区系统,并发现它是一个有价值的节省时间的工具。

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本文引用的文献

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The Right Meter for You.适合你的正确计量器。
Diabetes Forecast. 2016 Mar-Apr;69(2):50-60.

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