Clinical Decision Support for Glycemic Management Reduces Hospital Length of Stay.

Objective: Dysglycemia influences hospital outcomes and resource utilization. Clinical decision support (CDS) holds promise for optimizing care by overcoming management barriers. This study assessed the impact on hospital length of stay (LOS) of an alert-based CDS tool in the electronic medical record that detected dysglycemia or inappropriate insulin use, coined as gaps in care (GIC).

Reduction of central venous catheter associated blood stream infections following implementation of a resident oversight and credentialing policy.

Background: This study assesses the impact that a resident oversight and credentialing policy for central venous catheter (CVC) placement had on institution-wide central line associated bloodstream infections (CLABSI). We therefore investigated the rate of CLABSI per 1,000 line days during the 12 months before and after implementation of the policy.

Methods: This is a retrospective analysis of prospectively collected data at an academic medical center with four adult ICUs and a pediatric ICU.

Effect of standardized electronic discharge instructions on post-discharge hospital utilization.

Background: Several physician organizations and the Centers for Medicare and Medicaid Services (CMS) support compliance measures for written discharge instructions. CMS has identified clear discharge instructions with specific attention to medication management as a necessary intervention.

Objective: We tested the hypothesis that implementing a standardized electronic discharge instructions document with embedded computerized medication reconciliation would decrease post-discharge hospital utilization.