Ineffectiveness of a non-interruptive electronic medical record-based clinical decision support alert for adverse inpatient glycaemia

Abstract

Objective: Hypo- and hyperglycaemia are major issues for hospital inpatients with diabetes associated with risk of increased adverse outcomes, including higher mortality and prolonged length of stay. We investigated whether implementation of a non-interruptive electronic medical record (EMR)-based alert for glycaemia was associated with changes in diabetes medication management in hospital. Method: This was a pre-/post-intervention study from September 2022 – January 2023 comparing 7-week pre-intervention and post-intervention periods separated by a 4-week non-analysis transition. A non-interruptive alert for hypo- and hyperglycaemia was deployed through the EMR, which provided management r..