Evaluation of an inpatient psychiatric hospital physician education program and adherence to American Diabetes Association practice recommendations

Koffarnus, Robin L.; Mican, Lisa M.; Lopez, Debra; Barner, Jamie C.

doi:10.2146/sp150037

Cited by 4 publications

(6 citation statements)

References 5 publications

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“…Patients with fasting a lipid panel available (overall) 32 (18.7%) 94 (59.9%) p < 0.0001 Blood glucose level ordered at the same time as the SGA ordered on the computer system 4 (8.2%) 38 (32.5%) p = 0.002. Koffarnus, 2012, USA [ 97 ] Adherence to American Diabetes Association recommendations for diabetes monitoring following an educational Intervention for physicians in an inpatient psychiatric hospital. PharmD pharmacist.…”

Section: Resultsmentioning

confidence: 99%

“…The randomised controlled study [ 84 ] identified for this review scored poorly (25%) due to lack of description of participant allocation, < 80% reporting of outcome data and a high rate participant attrition (> 20%). Quasi experimental approaches were utilised in thirteen [ 86 , 88 , 92 , 94 , 95 , 97 – 104 ] of the quantitative, outcome studies, ( n =12) [ 86 , 88 , 92 , 94 , 95 , 97 – 101 , 103 , 104 ] of these scored more than 50%. Seventy-one percent [ 71 , 85 , 87 , 90 , 91 , 93 ] ( n = 5) of the quantitative descriptive studies scored 50% or more.…”

Section: Resultsmentioning

confidence: 99%

“…Figure 2 shows the key components of the healthcare pathway for CMR, MetS and related diseases and the role of pharmacy at each key component; fourteen studies [ 73 , 79 – 81 , 83 , 84 , 86 , 87 , 89 – 91 , 93 , 100 , 102 ] included pharmacists in more than one key component. Twenty-seven [ 75 , 79 – 81 , 83 , 84 , 86 , 87 , 89 – 91 , 93 – 95 , 97 – 102 , 104 ] of the 33 studies included direct (e.g. pharmacist undertaking screening such as weight measurements or blood tests) and indirect (e.g.…”

Section: Resultsmentioning

confidence: 99%

“…]s Bozymski[83] Barnes[98] Fischler[99] Lee[79] Koffarnus[97] Sud[86] Sasson[94] Pena[95] Health found[80] % Using strategy to achieve this was around 25% longer than those without MHCs.…”

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confidence: 99%

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The role of pharmacy in the management of cardiometabolic risk, metabolic syndrome and related diseases in severe mental illness: a mixed-methods systematic literature review

et al. 2021

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Background Individuals with severe mental illness, e.g. schizophrenia have up to a 20% shortened life expectancy compared to the general population. Cardiovascular disease, due to cardiometabolic risk and metabolic syndrome, accounts for most of this excess mortality. A scoping search revealed that there has not been a review of published studies on the role of pharmacy in relation to cardiometabolic risk, metabolic syndrome and related diseases (e.g. type 2 diabetes) in individuals with severe mental illness. Methods A mixed-methods systematic review was performed. Eleven databases were searched using a comprehensive search strategy to identify English-language studies where pharmacy was involved in an intervention for cardiometabolic risk, metabolic syndrome or related diseases in severe mental illness in any study setting from any country of origin. First, a mapping review was conducted. Then, implementation strategies used to implement the study intervention were classified using the Cochrane Effective Practice and Organisation of Care Taxonomy. Impact of the study intervention on the process (e.g. rate of diagnosis of metabolic syndrome) and clinical (e.g. diabetic control) outcomes were analysed where possible (statistical tests of significance obtained for quantitative outcome parameters reported). Quality assessment was undertaken using a modified Mixed Methods Appraisal Tool. Results A total of 33 studies were identified. Studies were heterogeneous for all characteristics. A total of 20 studies reported quantitative outcome data that allowed for detailed analysis of the impact of the study intervention. The relationship between the total number of implementation strategies used and impact on outcomes measured is unclear. Inclusion of face-to-face interaction in implementation of interventions appears to be important in having a statistically significantly positive impact on measured outcomes even when used on its own. Few studies included pharmacy staff in community or general practitioner practices (n = 2), clinical outcomes, follow up of individuals after implementation of interventions (n = 3). No studies included synthesis of qualitative data. Conclusions Our findings indicate that implementation strategies involving face-to-face interaction of pharmacists with other members of the multidisciplinary team can improve process outcomes when used as the sole strategy. Further work is needed on clinical outcomes (e.g. cardiovascular risk reduction), role of community pharmacy and qualitative studies. Systematic review registration PROSPERO CRD42018086411

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…]s Bozymski[83] Barnes[98] Fischler[99] Lee[79] Koffarnus[97] Sud[86] Sasson[94] Pena[95] Health found[80] % Using strategy to achieve this was around 25% longer than those without MHCs.…”

mentioning

confidence: 99%

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The role of pharmacy in the management of cardiometabolic risk, metabolic syndrome and related diseases in severe mental illness: a mixed-methods systematic literature review

et al. 2021

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“…Updating and documenting hemoglobin A1c levels is strongly advocated, not only for hospitalized patients with diabetes, but also for patients in long-term facilities. Along this line, education of faculty in a psychiatric hospital appeared to successfully facilitate this goal (43). …”

Section: Discussionmentioning

confidence: 99%

Perspectives on Learning and Clinical Practice Improvement for Diabetes in the Hospital: A Review of Educational Interventions for Providers

2017

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Objective The management of inpatient hyperglycemia and diabetes requires expertise among many healthcare providers. There is limited evidence about how education for healthcare providers can result in optimization of clinical outcomes. The purpose of this critical review of the literature is to examine methods and outcomes related to educational interventions regarding the management of diabetes and dysglycemia in the hospital setting. This report provides recommendations to advance learning, curricular planning, and clinical practice. Methods We conducted a literature search through PubMed Medical for terms related to concepts of glycemic management in the hospital and medical education and training. This search yielded 1,493 articles published between 2003 and 2016. Results The selection process resulted in 16 original articles encompassing 1,123 learners from various disciplines. We categorized findings corresponding to learning outcomes and patient care outcomes. Conclusion Based on the analysis, we propose the following perspectives, leveraging learning and clinical practice that can advance the care of patients with diabetes and/or dysglycemia in the hospital. These include: (1) application of knowledge related to inpatient glycemic management can be improved with active, situated, and participatory interactions of learners in the workplace; (2) instruction about inpatient glycemic management needs to reach a larger population of learners; (3) management of dysglycemia in the hospital may benefit from the integration of clinical decision support strategies; and (4) education should be adopted as a formal component of hospitals’ quality planning, aiming to integrate clinical practice guidelines and to optimize diabetes care in hospitals.

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Prevalence of obesity and clinical and metabolic correlates in first-episode schizophrenia relative to healthy controls

et al. 2020

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Evaluation of an inpatient psychiatric hospital physician education program and adherence to American Diabetes Association practice recommendations

Abstract: The physician education program was successful in increasing the assessment of A1c values and lipid profiles for patients with diabetes mellitus in a psychiatric institution.

Cited by 4 publications

References 5 publications

The role of pharmacy in the management of cardiometabolic risk, metabolic syndrome and related diseases in severe mental illness: a mixed-methods systematic literature review

The role of pharmacy in the management of cardiometabolic risk, metabolic syndrome and related diseases in severe mental illness: a mixed-methods systematic literature review

Perspectives on Learning and Clinical Practice Improvement for Diabetes in the Hospital: A Review of Educational Interventions for Providers

Prevalence of obesity and clinical and metabolic correlates in first-episode schizophrenia relative to healthy controls

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