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一种用于计算住院患者血糖控制指标的开源工具:从医疗分析研究到临床质量改进的转化

An open source tool to compute measures of inpatient glycemic control: translating from healthcare analytics research to clinical quality improvement.

作者信息

Chen Ying, Ning Yilin, Thomas Prem, Salloway Mark, Tan Maudrene Luor Shyuan, Tai E-Shyong, Kao Shih Ling, Tan Chuen Seng

机构信息

Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.

NUS Graduate School for Integrative Sciences and Engineering, National University of Singapore, Singapore, Singapore.

出版信息

JAMIA Open. 2021 Jun 16;4(2):ooab033. doi: 10.1093/jamiaopen/ooab033. eCollection 2021 Apr.

DOI:10.1093/jamiaopen/ooab033
PMID:34142017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8206397/
Abstract

OBJECTIVES

The objective of this study is to facilitate monitoring of the quality of inpatient glycemic control by providing an open-source tool to compute glucometrics. To allay regulatory and privacy concerns, the tool is usable locally; no data are uploaded to the internet.

MATERIALS AND METHODS

We extended code, initially developed for healthcare analytics research, to serve the clinical need for quality monitoring of diabetes. We built an application, with a graphical interface, which can be run locally without any internet connection.

RESULTS

We verified that our code produced results identical to prior work in glucometrics. We extended the prior work by including additional metrics and by providing user customizability. The software has been used at an academic healthcare institution.

CONCLUSION

We successfully translated code used for research methods into an open source, user-friendly tool which hospitals may use to expedite quality measure computation for the management of inpatients with diabetes.

摘要

目的

本研究的目的是通过提供一个用于计算血糖指标的开源工具,促进对住院患者血糖控制质量的监测。为消除监管和隐私方面的担忧,该工具可在本地使用;无需将数据上传到互联网。

材料与方法

我们扩展了最初为医疗保健分析研究而开发的代码,以满足糖尿病质量监测的临床需求。我们构建了一个带有图形界面的应用程序,该程序可以在无任何互联网连接的情况下在本地运行。

结果

我们验证了我们的代码所产生的结果与之前在血糖指标方面的工作相同。我们通过纳入额外的指标并提供用户可定制性对之前的工作进行了扩展。该软件已在一家学术性医疗机构中使用。

结论

我们成功地将用于研究方法的代码转化为一个开源的、用户友好的工具,医院可以使用该工具来加快对糖尿病住院患者管理的质量指标计算。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d86/8206397/2587de5601a4/ooab033f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d86/8206397/be4ab9d075f1/ooab033f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d86/8206397/d9aa72bf5871/ooab033f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d86/8206397/2587de5601a4/ooab033f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d86/8206397/be4ab9d075f1/ooab033f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d86/8206397/d9aa72bf5871/ooab033f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d86/8206397/2587de5601a4/ooab033f3.jpg

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Evaluating the effectiveness of a multi-faceted inpatient diabetes management program among hospitalised patients with diabetes mellitus.评估多方面住院糖尿病管理项目对住院糖尿病患者的有效性。
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美国首例植入式连续血糖传感器商业使用者的真实世界数据。
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Handling ties in continuous outcomes for confounder adjustment with rank-ordered logit and its application to ordinal outcomes.连续结局中混杂因素调整的排序逻辑回归处理 ties 及其在有序结局中的应用。
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Improving Glycemic Control Safely in Non-Critical Care Patients: A Collaborative Systems Approach in Nine Hospitals.在非重症监护患者中安全改善血糖控制:九家医院的协作系统方法
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IMPROVING GLYCEMIC CONTROL SAFELY IN CRITICAL CARE PATIENTS: A COLLABORATIVE SYSTEMS APPROACH IN NINE HOSPITALS.在重症监护患者中安全改善血糖控制:九家医院的协作系统方法
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