{"id":715,"date":"2016-11-02T00:00:22","date_gmt":"2016-11-02T00:00:22","guid":{"rendered":"http:\/\/www.glucotab.at\/en\/?p=715"},"modified":"2016-11-07T08:56:31","modified_gmt":"2016-11-07T08:56:31","slug":"a-mobile-computerized-decision-support-system-to-prevent-hypoglycemia-in-hospitalized-patients-with-type-2-diabetes-mellitus-lessons-learned-from-a-clinical-feasibility-study","status":"publish","type":"post","link":"https:\/\/www.glucotab.at\/en\/a-mobile-computerized-decision-support-system-to-prevent-hypoglycemia-in-hospitalized-patients-with-type-2-diabetes-mellitus-lessons-learned-from-a-clinical-feasibility-study\/","title":{"rendered":"A Mobile Computerized Decision Support System to Prevent Hypoglycemia in Hospitalized Patients With Type 2 Diabetes Mellitus: Lessons Learned From a Clinical Feasibility Study"},"content":{"rendered":"<p>J Diabetes Sci Technol. 2016 Nov 2; Epub ahead of print.<br \/>\n<a href=\"https:\/\/dx.doi.org\/10.1177\/1932296816676501\" target=\"_blank\">https:\/\/dx.doi.org\/10.1177\/1932296816676501<\/a><\/p>\n<p>This article reports on results from the first clinical trial performed with the prototype of the GlucoTab\u00ae system, a mobile, tablet-based client-server system for computerized decision and workflow support.<\/p>\n<p><!--more--><\/p>\n<p>Diabetes management requires complex and interdisciplinary cooperation of health care professionals (HCPs). To support this complex process, IT-support is recommended by clinical guidelines.<\/p>\n<p>Methods:<\/p>\n<p>The study was a monocentric, open, noncontrolled intervention study in 30 patients with type 2 diabetes mellitus (T2DM). Diabetes therapy, adverse events, software errors and user feedback were documented. Safety, efficacy and user acceptance of the system were investigated.<\/p>\n<p>Results:<\/p>\n<ul>\n<li>Only 1.3% of blood glucose (BG) measurements were &lt;70 mg\/dl and only 2.6% were &gt;300 mg\/dl.<\/li>\n<li>The availability of the system (97.3%) and the rate of treatment activities documented with the system (&gt;93.5%) were high.<\/li>\n<li>Only few suggestions from the system were overruled by the users (&gt;95.7% adherence).<\/li>\n<li>Evaluation of the 3 anonymous questionnaires showed that confidence in the system increased over time. The majority of users believed that treatment errors could be prevented by using this system.<\/li>\n<\/ul>\n<p>Conclusions:<\/p>\n<p>Data from our feasibility study show a significant reduction of hypoglycemia by implementing a computerized system for workflow and decision support for diabetes management, compared to a paper-based process. The system was well accepted by HCPs, which is shown in the user acceptance analysis and that users adhered to the insulin dose suggestions made by the system.<\/p>\n<p><strong>Authors:<\/strong> Spat S(1), Donsa K(1), Beck P(2,3), H\u00f6ll B(1), Mader JK(4), Schaupp L(4), Augustin T(1), Chiarugi F(5), Lichtenegger KM(4), Plank J(4), Pieber TR(1,4).<\/p>\n<p>Author information:<\/p>\n<ol>\n<li>Health-Institute for Biomedicine and Health Sciences, Joanneum Research Forschungsgesellschaft mbh, Graz, Austria.<\/li>\n<li>Health-Institute for Biomedicine and Health Sciences, Joanneum Research Forschungsgesellschaft mbh, Graz, Austria<\/li>\n<li>decide Clinical Software GmbH, Graz, Austria.<\/li>\n<li>Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.<\/li>\n<li>Computational Medicine Laboratory, Institute of Computer Science, Foundation for Research and Technology-Hellas, Crete, Greece.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>J Diabetes Sci Technol. 2016 Nov 2; Epub ahead of print. https:\/\/dx.doi.org\/10.1177\/1932296816676501 This article reports on results from the first clinical trial performed with the prototype of the GlucoTab\u00ae system, a mobile, tablet-based client-server system for computerized decision and workflow support.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[4],"tags":[],"class_list":["post-715","post","type-post","status-publish","format-standard","hentry","category-publications"],"_links":{"self":[{"href":"https:\/\/www.glucotab.at\/en\/wp-json\/wp\/v2\/posts\/715","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.glucotab.at\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.glucotab.at\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.glucotab.at\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.glucotab.at\/en\/wp-json\/wp\/v2\/comments?post=715"}],"version-history":[{"count":1,"href":"https:\/\/www.glucotab.at\/en\/wp-json\/wp\/v2\/posts\/715\/revisions"}],"predecessor-version":[{"id":716,"href":"https:\/\/www.glucotab.at\/en\/wp-json\/wp\/v2\/posts\/715\/revisions\/716"}],"wp:attachment":[{"href":"https:\/\/www.glucotab.at\/en\/wp-json\/wp\/v2\/media?parent=715"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.glucotab.at\/en\/wp-json\/wp\/v2\/categories?post=715"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.glucotab.at\/en\/wp-json\/wp\/v2\/tags?post=715"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}