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Cited by 8Diabetes Management and EducationHealth Policy Implementation SciencePatient Safety and Medication Errors

Diabetes to go-inpatient: pragmatic lessons learned from implementation of technology-enabled diabetes survival skills education within nursing unit workflow in an urban, tertiary care hospital

Magee, Michelle F., Baker, Kelley M., Bardsley, Joan K., Wesley, Deliya, Smith, Kelly M.·2021·The Joint Commission Journal on Quality and Patient Safety
DOI 10.1016/j.jcjq.2020.10.007
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Abstract

Background Diabetes survival skills education (DSSE) focuses on core knowledge and skills necessary for safe, effective, short-term diabetes self-care. Inpatient DSSE delivery approaches are needed. Diabetes to Go (D2Go) is an evidence-based DSSE program originally designed for outpatients. Methods Implementation science principles were used to redesign D2Go for delivery by staff on medicine and surgery units in a tertiary care hospital to adults with type 2 diabetes (T2DM) using a tablet-based e-learning platform. Implementation efficacy was evaluated from staff and patient engagement perspectives. The Practical, Robust Implementation and Sustainability Model (PRISM) guided redesign. The team conducted qualitative evaluation (implementation barriers and facilitators); program redesign (via stakeholder feedback and education and human factors principles); implementation design for tablet delivery and patient engagement by unit staff; and a prospective implementation feasibility study. Results Among 596 T2DM patients identified on three medical/surgical units, 415 (69.6%) were program eligible. Of those eligible, 59 (14.2%) received, accessed, and engaged with the platform; and among those, 43 (72.9%) completed the intervention, representing just 10.4% of those eligible. Multilevel implementation barriers were encountered: staff (receptivity, time, production pressures, culture); process (electronic health record [EHR] integration, patient identification, data tracking, bedsid…

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  • Providing diabetes self-management education and developing a diabetes discharge plan that includes continued access to diabetes medications and supplies and ongoing education and support are key strategies to improve long-term outcomes.

    “In addition, providing diabetes self-management education and developing a diabetes discharge plan that includes continued access to diabetes medications and supplies and ongoing education and support are key strategies to improve long-term outcomes (20,21).”

    From 16. Diabetes Care in the Hospital: Standards of Care in Diabetes—2026 (2026) · cites this paper as [20]

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Authors
Magee, M. F., Baker, K. M., Bardsley, J. K., Wesley, D., & Smith, K. M.
Corresponding author
Magee, Michelle F.
ORCID
Venue
The Joint Commission Journal on Quality and Patient Safety
Publisher
Elsevier BV
Published
2021-02
Volume
47
Issue
2
Pages
107-119
ISSN
1553-7250 (ISSN-L)
DOI
10.1016/j.jcjq.2020.10.007
OpenAlex
W3094021699
Cited by
8
References
6
Citations by year
2024: 3 · 2023: 2 · 2022: 3
FWCI
0.94
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • The Joint Commission Journal on Quality and Patient Safety (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health
  • National Institute of Diabetes and Digestive and Kidney Diseases (R34DK109503)
  • National Center for Advancing Translational Sciences (UL1TR001409)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
Keywords
type 2 diabetes, implementation barriers and facilitators, electronic health record integration, patient engagement, diabetes self-care, PRISM model, tertiary care hospital
MeSH terms
Adult, Diabetes Mellitus, Type 2, Humans, Prospective Studies, Technology, Workflow, Tertiary Care Centers

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