Kay Martin1, Loletta Carter1, Donna Balciunas1, Faranak Sotoudeh2,3, Debbie Moore4, Joanne Westerfield4. 1. Kay Martin, Loletta Carter, and Donna Balciunas are American Healthways employees who work at Prince George's Hospital Center in Cheverly, Maryland. 2. Dr. Sotoudeh is an endocrinologist in private practice and serves as the Medical Director for the Diabetes Center. 3. Prince George's Hospital Center pays Dr. Sotoudeh a small monthly stipend to serve as the Medical Director. 4. Debbie Moore and Joanne Westerfield are corporate employees of American Healthways.
Abstract
PURPOSE: The purpose of this descriptive clinical research study was to identify which method of communication, verbal or written, has the greatest impact on physician adjustment of the antidiabetes medication regimen for hospitalized patients with hyperglycemia. METHODS: The medical records for 1026 patients hospitalized with diabetes at a large, metropolitan, not-for-profit teaching hospital were reviewed by the diabetes inpatient clinicians to identify hyperglycemia and the potential need to initiate or adjust the antidiabetes medication regimen. The study evaluated the effectiveness of verbal versus written communication between the diabetes inpatient clinician and the physician regarding cases where the current antidiabetes medication regimen was not optimal. RESULTS: Verbal interaction between the diabetes inpatient clinician and the physician resulted in a greater number of changes in the antidiabetes medication regimen. CONCLUSIONS: Communication modality correlates with changes in antidiabetes medications prescribed by physicians and may be an effective tool to facilitate inpatient glycemic control.
PURPOSE: The purpose of this descriptive clinical research study was to identify which method of communication, verbal or written, has the greatest impact on physician adjustment of the antidiabetes medication regimen for hospitalized patients with hyperglycemia. METHODS: The medical records for 1026 patients hospitalized with diabetes at a large, metropolitan, not-for-profit teaching hospital were reviewed by the diabetes inpatient clinicians to identify hyperglycemia and the potential need to initiate or adjust the antidiabetes medication regimen. The study evaluated the effectiveness of verbal versus written communication between the diabetes inpatient clinician and the physician regarding cases where the current antidiabetes medication regimen was not optimal. RESULTS: Verbal interaction between the diabetes inpatient clinician and the physician resulted in a greater number of changes in the antidiabetes medication regimen. CONCLUSIONS: Communication modality correlates with changes in antidiabetes medications prescribed by physicians and may be an effective tool to facilitate inpatient glycemic control.
Authors: Patricia C Dykes; Ann Hurley; Margaret Cashen; Suzanne Bakken; Mary E Duffy Journal: J Am Med Inform Assoc Date: 2007-04-25 Impact factor: 4.497
Authors: Leora I Horwitz; Vivek Parwani; Nidhi R Shah; Jeremiah D Schuur; Thom Meredith; Grace Y Jenq; Raghavendra G Kulkarni Journal: Ann Emerg Med Date: 2009-03-12 Impact factor: 5.721