{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T10:04:16Z","timestamp":1779789856124,"version":"3.53.1"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Endocrino Diabet &amp;amp; Metabol"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Optimal inpatient diabetes management requires accurate blood glucose (BG) and ketone (BK) documentation. In 2019, Royal Melbourne Hospital implemented hospital\u2010wide networked blood glucose monitoring (NBGM) (NovaBiomed StatStrip), which automatically uploads BG\/BK values to point\u2010of\u2010care device software (Bioconnect). Until electronic health record (EHR) implementation in 2020, nurses manually recorded BG\/BK data into paper\u2010records, enabling blinded gold\u2010standard accuracy assessment by digital software. This study evaluated the accuracy and potential clinical significance of inaccurate manual POC BG\/BK values compared with NBGM records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>DINGO POC, a sub\u2010analysis of the Diabetes IN\u2010hospital: Glucose and Outcomes (DINGO) study, audited paper\u2010based glucose charts against NBGM\u2010uploaded BG\/BK values and BG time\u2010stamps to identify manual transcription inaccuracies. Discrepancy rates, magnitude and potential clinical significance were analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>4391 BG and 378 BK NBGM measures from 250 admissions over a two\u2010month period were assessed. Of BG measures, 325 (7.4%) were not recorded in patient charts and 558 (13%) were inaccurate. 302 (54%) inaccurate BGs had potentially clinically significant discrepancies (\u2265\u20090.4\u2009mmol\/L). 1570 (36%) BG time\u2010stamps were recorded inaccurately, and 329 (7.5%) were not recorded. 524 (33%) inaccurate BG time\u2010stamps had discrepancies &gt;\u200915\u2009min. Of BK measures, 153 (41%) were not recorded and 18 (8%) were transcribed inaccurately. Inaccuracy rates were similar across wards and patient groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Manual transcription of POC BG\/BK values and time\u2010stamps, evaluated against blinded concurrent gold\u2010standard digital software, was often inaccurate with potential for clinical harm. Implementation of hospital\u2010wide NBGM systems with automated POC BG\/BK upload to EHRs may mitigate manual transcription errors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/edm2.70212","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T03:55:34Z","timestamp":1775015734000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lost in Transcription: Frequency of Inaccurate Manually Documented Point\u2010of\u2010Care Blood Glucose and Ketone Measures in Hospital"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9053-5142","authenticated-orcid":false,"given":"Ali","family":"Hazara","sequence":"first","affiliation":[{"name":"Department of Diabetes and Endocrinology The Royal Melbourne Hospital  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul D.","family":"Barmanray","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology The Royal Melbourne Hospital  Melbourne Australia"},{"name":"Department of Medicine The University of Melbourne  Melbourne Australia"},{"name":"Australian Centre for Accelerating Diabetes Innovations (ACADI), the University of Melbourne  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ray","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology The Royal Melbourne Hospital  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4341-8250","authenticated-orcid":false,"given":"Mervyn","family":"Kyi","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology The Royal Melbourne Hospital  Melbourne Australia"},{"name":"Department of Medicine The University of Melbourne  Melbourne Australia"},{"name":"Australian Centre for Accelerating Diabetes Innovations (ACADI), the University of Melbourne  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Spiros","family":"Fourlanos","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology The Royal Melbourne Hospital  Melbourne Australia"},{"name":"Department of Medicine The University of Melbourne  Melbourne Australia"},{"name":"Australian Centre for Accelerating Diabetes Innovations (ACADI), the University of Melbourne  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,31]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"AIHW Diabetes: Australian Facts [Web Report] [Internet]. Australian Institute of Health and Welfare; 2024 https:\/\/www.aihw.gov.au\/reports\/diabetes\/diabetes\/contents\/introduction."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11226636"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1210\/jcem.87.3.8341"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc08\u20102127"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1210\/clinem\/dgae051"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc23\u20101905"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc18\u20102342"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102044.2004.03834.x"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102012\u2010002406"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0010\u20104809(81)90035\u20105"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.94.6.902"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134\u2010010\u20101868\u20107"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cca.2009.03.013"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocy170"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.2196\/11873"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/20552076231224605"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010024\u201012168\u20105"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000002252"},{"key":"e_1_2_11_20_1","volume-title":"NovoRapid & NovoMix Product Information [Product Information] [Internet]","author":"Novo Nordisk","year":"2021"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1932296814539589"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjhc.2020.0139"}],"container-title":["Endocrinology, Diabetes &amp; Metabolism"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/edm2.70212","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/edm2.70212","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/edm2.70212","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T09:19:44Z","timestamp":1779787184000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/edm2.70212"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,31]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/edm2.70212"],"URL":"https:\/\/doi.org\/10.1002\/edm2.70212","archive":["Portico"],"relation":{},"ISSN":["2398-9238","2398-9238"],"issn-type":[{"value":"2398-9238","type":"print"},{"value":"2398-9238","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,31]]},"assertion":[{"value":"2025-11-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70212"}}