Development of a Computerized Intravenous Insulin Application (Auto Cal ) at Kaiser Permanente Northwest, Integrated into Kaiser Permanente HealthConnect: Impact on Safety and Nursing Workload
Author(s) -
Christine Olinghouse
Publication year - 2012
Publication title -
the permanente journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.445
H-Index - 30
eISSN - 1552-5775
pISSN - 1552-5767
DOI - 10.7812/tpp/12.959
Subject(s) - medicine , workload , calculator , insulin , protocol (science) , insulin delivery , diabetes mellitus , medical emergency , emergency medicine , computer science , alternative medicine , endocrinology , pathology , type 1 diabetes , operating system
The electronic medical record, HealthConnect, at the Kaiser Sunnyside Medical Center in the Northwest used scanned paper protocols for intravenous insulin administration. A chart review of 15 patients on intravenous insulin therapy using state-of-the-art paper-based column protocols revealed 40% deviation from the protocol. A time study of experienced nurses computing the insulin dose revealed an average of 2 minutes per calculation per hour to complete.
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