Evaluation of Outcomes Using a Tablet-Based System to Support Glycemic Management Workflow Operations: A Retrospective O
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MOBILE & WIRELESS HEALTH
Evaluation of Outcomes Using a Tablet-Based System to Support Glycemic Management Workflow Operations: A Retrospective Observational Study Kei Teramoto 1
&
Tsuyoshi Okura 2 & Hiroshi Kondo 1
Received: 3 July 2019 / Accepted: 5 August 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract The treatment of hospitalized patients with type 2 diabetes requires glycemic management to maintain the patients’ blood glucose levels within a normal range. We developed a blood glucose management system (BGM) system in 2015, which is a tablet-based workflow support system. This system enables medical staff to continually confirm the physicians’ instructions by measuring the blood glucose levels while using a tablet terminal. In this study, we examined electronic medical records (EMRs) to evaluate the usage frequency of the BGM system and the time required for the glycemic management workflow in comparison to conventional PC terminals in a large hospital setting. The data includes 197,927 blood glucose level measurements that were taken in the general wards of Tottori University Hospital between January 2016 and June 2017. The usage frequency of the glycemic management workflow while using the BGM system was 145,864 times (approximately 74% of the total blood glucose measurements). The mean time until the completion of the glycemic management workflow in the case of hyperglycemia was 16 min 33 s, which is 26% shorter than using a PC terminal for treatment that involves injection or infusion (1454 times). The BGM system is proactively utilized by medical staff, thereby improving the operating efficiency. The results of this study indicate that the BGM system installed on tablet terminals can improve the efficiency in large-scale medical institutions that treat patients with diabetes. Keywords Tablet terminals . Blood glucose management . Diabetes patient . Workflow management
Background Diabetes is a disease that causes the blood glucose and hemoglobin A1c (HbA1c) levels to exceed the reference standard. According to a survey by the International Diabetes Federation, as of 2017, 425 million people across 194 countries have been diagnosed with diabetes, and this number is expected to increase to 699 million in 2045 [1, 2]. In Japan, diabetes affects 11.20% of the population, and 16% of the hospitalized patients are diabetic. Against the background of
* Kei Teramoto [email protected] 1
The Division of Medical Informatics, Tottori University Hospital, Nishi-cho, Yonago 36, Japan
2
Division of Cardiovascular Medicine, Endocrinology and Metabolism, Department of Molecular Medicine and Therapeutics, Tottori University Faculty of Medicine, Nishi-cho, Yonago 36, Japan
this global increase in the number of diabetic patients, medical institutions require medical treatment systems that are based on the premise of taking in diabetic patients. Glycemic management to maintain blood glucose (BG) levels within a normal range is important in the treatment of diabetic patients [3–6]. N
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