Implementation and Evaluation of an Inpatient Diabetes Superuser Education Program

NCT02847390 | Completed DMC

• 1 other identifier: IRB00071590
• Study Type: observational
• Target: 3,259
• Locations: 0 countries
• Sites: N/A

Brief Summary

The investigators will develop a novel diabetes prescriber superuser educational program focused on inpatient diabetes management for physicians, based on their input. The investigators will then examine the impact of the diabetes prescriber superuser program and an analogous diabetes nurse superuser program that is already developed on glycemic control and other outcomes in hospitalized patients with diabetes.

Conditions

Diabetes Mellitus

Keywords

diabetes mellitus; physician education; nursing education; hyperglycemia; hypoglycemia; inpatient; hospital; glycemic control

Outcome Measures

Primary Outcomes (2)

• Hypoglycemia

  Percentage and rate of patient-days with at least one hypoglycemic event during admission

  Throughout 3 months post intervention

• Hyperglycemia

  Percentage of patient-days with patient-day weighted mean blood glucose in hyperglycemia range

  Throughout 3 months post intervention

Study Arms (2)

Pre-implementation group

The investigators will develop and deliver a diabetes physician and nursing inpatient diabetes education intervention to our staff over a 6-month time frame from August 2016-January 2017. The investigators will use a before and after study design to assess the impact of the educational intervention on hospital-wide hypoglycemia and hyperglycemia. Adult (\>18 years), non-obstetrical patients admitted to the medical services where housestaff and hospitalist superusers have been trained, with Type 1 diabetes, Type 2 diabetes, or individuals with hospital-related hyperglycemia who do not carry a prior diabetes diagnosis (4/1/16 to 6/30/16).

Post-implementation group

Adult (\>18 years), non-obstetrical patients admitted to the medical services where housestaff and hospitalist superusers have been trained, with Type 1 diabetes, Type 2 diabetes, or individuals with hospital-related hyperglycemia who do not carry a prior diabetes diagnosis (4/1/17 to 6/30/17).

Other: Education intervention

Interventions

Education intervention OTHER

The investigators will develop and deliver a diabetes physician and nursing inpatient diabetes superuser educational curriculum focused on delivering safe, evidence-based diabetes care in the hospital setting. The physician educational curriculum will consist of 10 case-based modules taught to internal medicine residents at two academic hospitals and taught to hospitalists at two academic hospitals and one community hospital. The nursing educational curriculum will consistent of 12 case-based modules taught to unit-based nurses at two academic hospitals and one community hospital. These educational interventions will be delivered over a 6-month time frame from August 2016-April 2017.

Post-implementation group

Eligibility Criteria

• Age: 19 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adult (\>18 years), non-obstetrical patients admitted to the medical services where housestaff and hospitalist superusers have been trained, with Type 1 diabetes, Type 2 diabetes, or individuals with hospital-related hyperglycemia who do not carry a prior diabetes diagnosis.

You may qualify if:

• Adult (\>18 years)
• non-obstetrical patients admitted to the medical services where housestaff and hospitalist superusers have been trained with Type 1 diabetes or Type 2 diabetes
• individuals with hospital-related hyperglycemia who do not carry a prior diabetes diagnosis

You may not qualify if:

• Adults (\>18 years) with diabetic ketoacidosis
• hyperosmolar coma
• diabetes with other coma.

Sponsors & Collaborators

• Johns Hopkins University: lead

Related Publications (2)

• Golden SH, Hager D, Gould LJ, Mathioudakis N, Pronovost PJ. A Gap Analysis Needs Assessment Tool to Drive a Care Delivery and Research Agenda for Integration of Care and Sharing of Best Practices Across a Health System. Jt Comm J Qual Patient Saf. 2017 Jan;43(1):18-28. doi: 10.1016/j.jcjq.2016.10.004. Epub 2016 Oct 13.

  PMID: 28334581 BACKGROUND

• Mathioudakis N, Bashura H, Boyer L, Langan S, Padmanaban BS, Fayzullin S, Sokolinsky S, Hill Golden S. Development, Implementation, and Evaluation of a Physician-Targeted Inpatient Glycemic Management Curriculum. J Med Educ Curric Dev. 2019 Jul 15;6:2382120519861342. doi: 10.1177/2382120519861342. eCollection 2019 Jan-Dec.

  PMID: 31321305 RESULT

MeSH Terms

Conditions

Diabetes Mellitus; Hyperglycemia; Hypoglycemia

Interventions

Early Intervention, Educational

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

Intervention Hierarchy (Ancestors)

Child Health Services; Community Health Services; Health Services; Health Care Facilities Workforce and Services; Preventive Health Services

Study Officials

• Sherita Golden, M.D., M.H.S.

  Johns Hopkins University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 25, 2016
• First Posted: July 28, 2016
• Study Start: August 1, 2015
• Primary Completion: June 30, 2019
• Study Completion: June 30, 2019
• Last Updated: August 21, 2019

Record last verified: 2019-08