{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T13:51:56Z","timestamp":1777557116509,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T00:00:00Z","timestamp":1711584000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Diabetes Sci Technol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Insulin, a high-risk medication, is prone to prescribing errors. Patients with diabetes experience higher hospitalization rates and extended hospital stays. Prescription errors, such as missing orders, inappropriate insulin type, missing instructions, and lack of appropriate intensification of insulin regimens are common issues. This project explored the use of system-based interventions and educational tools to minimize errors and improve the quality of insulin discharge regimens.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A needs assessment and baseline chart review were conducted before adapting a diabetes order set obtained from the University of California, San Diego. Subsequent beta testing and broader implementation were followed by repeat chart reviews to assess the impact.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Providers strongly desired an insulin discharge order set, with 98% of those surveyed expressing this preference. Those who were high utilizers of the order set showed increased rates of ordering all supplies (55%), compared with pre-intervention rates (27%). However, no change was observed in the practice of intensifying insulin regimens in patients with uncontrolled diabetes upon discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Insulin prescribing is prone to error. A diabetes discharge order set may improve the percentage of patients who receive necessary insulin supplies at discharge and provide educational resources to encourage appropriate insulin regimens at hospital discharge.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19322968241239621","type":"journal-article","created":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T06:29:52Z","timestamp":1711607392000},"page":"570-576","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Developing a Diabetes Discharge Order Set for Patients With Diabetes on Insulin"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8792-1683","authenticated-orcid":false,"given":"Elizabeth","family":"Miles","sequence":"first","affiliation":[{"name":"Division of Hospital Medicine, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9143-2833","authenticated-orcid":false,"given":"Melissa","family":"McKnight","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Nebraska Medicine, Omaha, NE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire C.","family":"Schmitz","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Nebraska Medical Center, Omaha, NE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chelsea R.","family":"McElroy","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Internal Medicine, Medical College of Wisconsin, Milwaukee, WI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3025-686X","authenticated-orcid":false,"given":"Jana L.","family":"Wardian","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerie","family":"Shostrom","sequence":"additional","affiliation":[{"name":"College of Public Health, University of Nebraska Medical Center, Omaha, NE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Preethi","family":"Polavarapu","sequence":"additional","affiliation":[{"name":"Division of Diabetes, Endocrinology and Metabolism, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,28]]},"reference":[{"key":"bibr1-19322968241239621","unstructured":"Fingar K, Reid L. Diabetes-related inpatient stays, 2018: statistical brief #279. Published 2021. ahrq.gov"},{"key":"bibr2-19322968241239621","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-019-04849-3"},{"key":"bibr3-19322968241239621","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2022.109862"},{"key":"bibr4-19322968241239621","unstructured":"Center for Disease Control and Prevention. National diabetes statistics report. https:\/\/www.cdc.gov\/diabetes\/data\/statistics-report\/index.html. Published 2022. Accessed July 17, 2023."},{"key":"bibr5-19322968241239621","doi-asserted-by":"publisher","DOI":"10.2337\/dc18-er08"},{"key":"bibr6-19322968241239621","unstructured":"Institute for Safe Medication Practices. ISMP guidelines for optimizing safe subcutaneous insulin use in adults. https:\/\/www.ismp.org\/sites\/default\/files\/attachments\/2018-09\/ISMP138D-Insulin%20Guideline-090718.pdf. Published 2017. Accessed March 8, 2024."},{"key":"bibr7-19322968241239621","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2019-000655."},{"key":"bibr8-19322968241239621","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.13057"},{"key":"bibr9-19322968241239621","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-018-1027-z"},{"key":"bibr10-19322968241239621","doi-asserted-by":"publisher","DOI":"10.2337\/cd19-0003"},{"key":"bibr11-19322968241239621","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2011-3216"},{"key":"bibr12-19322968241239621","doi-asserted-by":"publisher","DOI":"10.2196\/33401"},{"key":"bibr13-19322968241239621","doi-asserted-by":"publisher","DOI":"10.2337\/db22-139-LB"},{"key":"bibr14-19322968241239621","volume-title":"Inpatient Rehabilitation Facilities and Skilled Nursing Facilities: Vive La Difference","author":"Edelman T","year":"2015"},{"key":"bibr15-19322968241239621","doi-asserted-by":"publisher","DOI":"10.2337\/dc14-0479"},{"key":"bibr16-19322968241239621","doi-asserted-by":"publisher","DOI":"10.1210\/jendso\/bvab048.866."},{"key":"bibr17-19322968241239621","doi-asserted-by":"publisher","DOI":"10.2337\/dci22-0034"},{"key":"bibr18-19322968241239621","volume-title":"Advances in Patient Safety: New Directions and Alternative Approaches","author":"Henriksen K","year":"2008"}],"container-title":["Journal of Diabetes Science and Technology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19322968241239621","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19322968241239621","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19322968241239621","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:16:56Z","timestamp":1777400216000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/19322968241239621"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,28]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1177\/19322968241239621"],"URL":"https:\/\/doi.org\/10.1177\/19322968241239621","relation":{},"ISSN":["1932-2968","1932-2968"],"issn-type":[{"value":"1932-2968","type":"print"},{"value":"1932-2968","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,28]]}}}