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Updated: Apr 16, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Improvement in inpatient glycemic care: pathways to quality
Joseph A Aloi1, Christopher Mulla, Jagdeesh Ullal
1Eastern Virginia Medical School, Division of Endocrinology and Metabolism, 855 W. Brambleton Avenue, Norfolk, VA, 23510, USA, aloija@evms.edu.
Abstract:
The management of inpatient hyperglycemia is a focus of quality improvement projects across many hospital systems while remaining a point of controversy among clinicians. The association of inpatient hyperglycemia with suboptimal hospital outcomes is accepted by clinical care teams; however, the clear benefits of targeting hyperglycemia as a mechanism to improve hospital outcomes remain contentious. Glycemic management is also frequently confused with efforts aimed at intensive glucose control, further adding to the confusion. Nonetheless, several regulatory agencies assign quality rankings based on attaining specified glycemic targets for selected groups of patients (Surgical Care Improvement Project (SCIP) measures). The current paper reviews the data supporting the benefits associated with inpatient glycemic control projects, the components of a successful glycemic control intervention, and utilization of the electronic medical record in implementing an inpatient glycemic control project.
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