Children's Hospital Los Angeles
E-protocol Insulin - Objective and Study Design
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Background:
The focus of this study is a software decision-support tool (eProtocol-insulin)
developed to guide caretakers in insulin administration. The eProtocol-insulin
software will be housed in laptop computers placed at the bedside or in a
location close to patients' rooms.
Objectives of the study:
We will implement the validated Phase-1 eProtocol-insulin with the 80-110 mg/dl
target in both adult and pediatric Phase-2 (naive) sites.
a. We will calculate clinician compliance with
eProtocol-insulin instructions.
i. We will quantify the reasons for non-compliance with protocol instructions.
b. Regarding the 80-110 mg/dl blood glucose target, we
will calculate:
i.
The proportion of measurements between 80-110 mg/dl for:
a. All measurements
b. Measurements after first reaching 80-110 mg/dl.
ii. The time required to first reach 80-110 mg/dl.
c. We will repeat the calculations for i.b above for
glucose values falling within the
normal range (between 70 and 110 mg/dl).