High risk medication use is essential for certain disease states, such as diabetes mellitus, and transitions of care can be an especially hazardous time for those newly prescribed insulin. The sickest population of patients, those with diabetes in the hospital, often require in depth knowledge and education transfer, as they transition from the inpatient to outpatient setting. Although adequate treatment of hyperglycemia through the use of medications such as insulin exists, hypoglycemia can be an additional unintended high risk consequence, along with other adverse events. A systematic risk assessment has demonstrated the need to re-design the processes and systems of care from inpatient to outpatient in this high risk DM population. The goal of this research project is to integrate and implement an intervention, the Diabetes Discharge Toolkit, an integrated software (website/app) and hardware (3-D printed kit) system, designed to systematically improve the transition from in-patient to outpatient DM care. The goal will be to test this final intervention, through a randomized controlled trial, and evaluate its effectiveness on glycemic excursions and other adverse events during this transition. This study will help directly improve clinical care, through the input of all stakeholders in transitional care management, for our sickest cohort of patients.
|Effective start/end date||4/1/19 → 3/31/22|
- Agency for Healthcare Research and Quality (1R18HS026143-01A1)