Practice changes in glycemic management and outcomes in coronary artery bypass surgery patients.

This study aims to evaluate whether a quality improvement initiative in hyperglycemia management could result in substantiated practice changes and improved outcomes for coronary artery bypass surgery patients. Retrospective chart review and analysis of 103 randomly selected patients hospitalized for coronary artery bypass surgery was used. After the glycemia awareness initiative, the perioperative use of intravenous insulin infusion therapy increased in the total population (P = .

The impact of verbal communication on physician prescribing patterns in hospitalized patients with diabetes.

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.